KAYLA A HERGENROTHER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179769

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

Last Name

HERGENROTHER

Business Name

KAYLA A HERGENROTHER

Original Issue Date

10/05/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

PLEASANT PLAINS

State

Zip

62677

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009