KEGAN T BONER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183569

License Status

NOT RENEWED

Business

First Name

KEGAN

Middle

Last Name

BONER

Business Name

KEGAN T BONER

Original Issue Date

04/15/2008

Effective Date

01/15/2020

Expiration Date

03/31/2021

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/20/2021