KYLE E VENVERTLOH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149998

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

Last Name

VENVERTLOH

Business Name

KYLE E VENVERTLOH

Original Issue Date

08/20/2003

Effective Date

08/20/2003

Expiration Date

03/31/2004

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/20/2005