KENNETH J BAST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164270

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

BAST

Business Name

KENNETH J BAST

Original Issue Date

09/29/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ARNOLD

State

Zip

63010

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/06/2009