KAYLA LYNN BOLISENGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260244

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

LYNN

Last Name

BOLISENGA

Business Name

KAYLA LYNN BOLISENGA

Original Issue Date

09/26/2018

Effective Date

09/26/2018

Expiration Date

03/31/2019

City

BLUE ISLAND

State

Zip

60406

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019