KENNEDY R PROFAIZER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215360

License Status

NOT RENEWED

Business

First Name

KENNEDY

Middle

Last Name

PROFAIZER

Prefix

Business Name

KENNEDY R PROFAIZER

Original Issue Date

01/08/2013

Effective Date

02/03/2014

Expiration Date

03/31/2015

City

WILSONVILLE

State

Zip

62093

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/11/2015