KENSLEY E SOUFFRANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180757

License Status

NOT RENEWED

Business

First Name

KENSLEY

Middle

Last Name

SOUFFRANT

Business Name

KENSLEY E SOUFFRANT

Original Issue Date

11/28/2007

Effective Date

11/28/2007

Expiration Date

03/31/2008

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008