KENDRA NICOLE GORHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254804

License Status

NOT RENEWED

Business

First Name

KENDRA

Middle

NICOLE

Last Name

GORHAM

Business Name

KENDRA NICOLE GORHAM

Original Issue Date

12/05/2017

Effective Date

12/05/2017

Expiration Date

03/31/2018

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

06/19/2018