ROBERT M KAWATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022451

License Status

NOT RENEWED

Business

First Name

ROBERT M

Last Name

KAWATA

Business Name

ROBERT M KAWATA

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005