KAYLA MAE LOPEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263908

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

MAE

Last Name

LOPEZ

Business Name

KAYLA MAE LOPEZ

Original Issue Date

04/03/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021