KALEN WAYNE WHITNEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169074

License Status

NOT RENEWED

Business

First Name

KALEN

Middle

WAYNE

Last Name

WHITNEY

Business Name

KALEN WAYNE WHITNEY

Original Issue Date

06/06/2006

Effective Date

06/06/2006

Expiration Date

03/31/2007

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/14/2007