KAYLA C FERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182679

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

Last Name

FERMAN

Business Name

KAYLA C FERMAN

Original Issue Date

03/07/2008

Effective Date

04/01/2011

Expiration Date

03/31/2012

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/07/2012