KAGEN LEE VANZANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264859

License Status

NOT RENEWED

Business

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

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

01/08/2021