LYLE THEODORE PRATT Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179799

License Status

CANCELLED

Business

First Name

LYLE

Middle

THEODORE

Last Name

PRATT

Business Name

LYLE THEODORE PRATT

Original Issue Date

10/09/2007

Effective Date

01/16/2015

Expiration Date

03/31/2016

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/16/2015