KYLE C REPAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139117

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

Last Name

REPAK

Business Name

KYLE C REPAK

Original Issue Date

11/08/2001

Effective Date

11/08/2001

Expiration Date

03/31/2005

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005