KAYLEE RYANNE RUDOLPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260484

License Status

NOT RENEWED

Business

First Name

KAYLEE

Middle

RYANNE

Last Name

RUDOLPH

Business Name

KAYLEE RYANNE RUDOLPH

Original Issue Date

10/09/2018

Effective Date

03/11/2020

Expiration Date

03/31/2021

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/20/2021