KAYLA ROSE MALMGREN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133609

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

ROSE

Last Name

MALMGREN

Business Name

KAYLA ROSE MALMGREN

Original Issue Date

11/13/2000

Effective Date

01/21/2014

Expiration Date

03/31/2015

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

05/11/2015