KEVIN SU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049244492

License Status

NOT RENEWED

Business

First Name

KEVIN

Last Name

Business Name

KEVIN SU

Original Issue Date

09/07/2016

Effective Date

01/30/2020

Expiration Date

03/31/2021

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021