KANTRELL T BATES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245479

License Status

NOT RENEWED

Business

First Name

KANTRELL

Middle

Last Name

BATES

Business Name

KANTRELL T BATES

Original Issue Date

10/18/2016

Effective Date

10/18/2016

Expiration Date

03/31/2017

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017