KAYLEN E WATERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049232484

License Status

NOT RENEWED

Business

First Name

KAYLEN

Middle

Last Name

WATERMAN

Prefix

Business Name

KAYLEN E WATERMAN

Original Issue Date

04/18/2015

Effective Date

04/18/2015

Expiration Date

03/31/2016

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

05/20/2016