KAYLA R KOONTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239456

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

Last Name

KOONTZ

Business Name

KAYLA R KOONTZ

Original Issue Date

02/09/2016

Effective Date

02/09/2016

Expiration Date

03/31/2017

City

SAINT ELMO

State

Zip

62458

County

FAYETTE

Ever Disciplined

LastModifiedDate

05/10/2017