KAYLA KATERA SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268384

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

KATERA

Last Name

SHAW

Business Name

KAYLA KATERA SHAW

Original Issue Date

10/10/2019

Effective Date

10/10/2019

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021