DEVANIE M KIDWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228686

License Status

NOT RENEWED

Business

First Name

DEVANIE

Middle

Last Name

KIDWELL

Business Name

DEVANIE M KIDWELL

Original Issue Date

10/21/2014

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

07/27/2022