KENYA N SPLUNGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164370

License Status

NOT RENEWED

Business

First Name

KENYA

Middle

Last Name

SPLUNGE

Business Name

KENYA N SPLUNGE

Original Issue Date

10/04/2005

Effective Date

10/04/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006