KYLE A UNDERWOOD SR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141442

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

Last Name

UNDERWOOD

Suffix

Business Name

KYLE A UNDERWOOD SR

Original Issue Date

03/15/2002

Effective Date

03/15/2002

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005