License Directory

Kevin A Medellin

Revoked or denied

Illinois license 049219103

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
049219103
Status
Revoked or denied (Revoked)
First issued
July 1, 2013
Expired
March 31, 2017
License holder
Kevin A Medellin
Entity type
Individual

Classifications

More from the license record

Current term began
04/01/2016
Ever disciplined
Yes
Discipline case
2016000683
Discipline action
Revocation
Discipline reason
after Mr. Medellin presented falsified prescriptions to a pharmacy fulfillment.
Discipline dates
05/31/2017

Contact

Bolingbrook, IL 60440
Will County