KAYLA LYNN MAMMEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156675

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

LYNN

Last Name

MAMMEN

Business Name

KAYLA LYNN MAMMEN

Original Issue Date

08/16/2004

Effective Date

03/12/2013

Expiration Date

03/31/2014

City

DELAVAN

State

Zip

61734

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/06/2014