KILEY SHAE EVANS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164654

License Status

NOT RENEWED

Business

First Name

KILEY

Middle

SHAE

Last Name

EVANS

Business Name

KILEY SHAE EVANS

Original Issue Date

10/28/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/14/2007