SHANE JOSEPH KENNINGTON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172270

License Status

INACTIVE

Business

First Name

SHANE

Middle

JOSEPH

Last Name

KENNINGTON

Business Name

SHANE JOSEPH KENNINGTON

Original Issue Date

11/01/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

01/10/2008