KAYLA M FAIRCLOUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221163

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

Last Name

FAIRCLOUGH

Business Name

KAYLA M FAIRCLOUGH

Original Issue Date

09/30/2013

Effective Date

09/30/2013

Expiration Date

03/31/2014

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014