KAYLEIGH A MAYFIELD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178683

License Status

INACTIVE

Business

First Name

KAYLEIGH

Middle

Last Name

MAYFIELD

Prefix

Business Name

KAYLEIGH A MAYFIELD

Original Issue Date

08/22/2007

Effective Date

03/29/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/12/2012