KENNETH B CAPULONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178918

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

CAPULONG

Business Name

KENNETH B CAPULONG

Original Issue Date

09/04/2007

Effective Date

02/20/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019