KYLA TAREESE MACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264511

License Status

NOT RENEWED

Business

First Name

KYLA

Middle

TAREESE

Last Name

MACK

Business Name

KYLA TAREESE MACK

Original Issue Date

04/13/2019

Effective Date

04/13/2019

Expiration Date

09/30/2020

City

PHOENIX

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021