KENERI SANDOVAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276711

License Status

NOT RENEWED

Business

First Name

KENERI

Last Name

SANDOVAL

Business Name

KENERI SANDOVAL

Original Issue Date

10/16/2020

Effective Date

03/16/2021

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022