ZAYLON DANIEL LEE COULTAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251114

License Status

NOT RENEWED

Business

First Name

ZAYLON

Middle

DANIEL LEE

Last Name

COULTAS

Business Name

ZAYLON DANIEL LEE COULTAS

Original Issue Date

06/07/2017

Effective Date

03/23/2018

Expiration Date

03/31/2019

City

ASSUMPTION

State

Zip

62510

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

07/15/2019