KAGEN LEE VANZANT - Pharmacist License in Illinois | # 049264859

KAGEN LEE VANZANT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264859

License Status

NOT RENEWED

Business

N

First Name

KAGEN

Middle

LEE

Last Name

VANZANT

Business Name

KAGEN LEE VANZANT

Original Issue Date

04/24/2019

Effective Date

04/24/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021