NATHAN WAYNE KETTLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251397

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

WAYNE

Last Name

KETTLE

Business Name

NATHAN WAYNE KETTLE

Original Issue Date

06/22/2017

Effective Date

06/22/2017

Expiration Date

03/31/2018

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

06/19/2018