KAYLA RAE BLACKWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265213

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

RAE

Last Name

BLACKWELL

Business Name

KAYLA RAE BLACKWELL

Original Issue Date

05/09/2019

Effective Date

02/18/2021

Expiration Date

05/31/2022

City

DAVENPORT

State

Zip

52802

Ever Disciplined

LastModifiedDate

07/27/2022