KODY WAYNE CHILDERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251310

License Status

NOT RENEWED

Business

First Name

KODY

Middle

WAYNE

Last Name

CHILDERS

Business Name

KODY WAYNE CHILDERS

Original Issue Date

06/16/2017

Effective Date

03/19/2018

Expiration Date

03/31/2019

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2019