JONATHAN TYLER KALLENBACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170683

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

TYLER

Last Name

KALLENBACH

Business Name

JONATHAN TYLER KALLENBACH

Original Issue Date

08/21/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

FULTON

State

Zip

61252

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/02/2008