KYLA J MATHENIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102588

License Status

NOT RENEWED

Business

First Name

KYLA J

Last Name

MATHENIA

Business Name

KYLA J MATHENIA

Original Issue Date

03/04/1993

Effective Date

03/04/1993

Expiration Date

03/31/1996

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

10/17/2005