KENT W KIRKHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029309

License Status

NOT RENEWED

Business

First Name

KENT W

Last Name

KIRKHAM

Business Name

KENT W KIRKHAM

Original Issue Date

08/18/1972

Effective Date

01/17/2012

Expiration Date

03/31/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014