KENNETH E NEWSOME Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194487

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

NEWSOME

Prefix

Business Name

KENNETH E NEWSOME

Original Issue Date

09/25/2009

Effective Date

09/25/2009

Expiration Date

03/31/2010

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/04/2010