KYLE PHOUANGMALAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235281

License Status

NOT RENEWED

Business

First Name

KYLE

Last Name

PHOUANGMALAY

Business Name

KYLE PHOUANGMALAY

Original Issue Date

08/05/2015

Effective Date

03/27/2017

Expiration Date

03/31/2018

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

06/19/2018