KAYLA LYNNAH COSTIC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276151

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

LYNNAH

Last Name

COSTIC

Business Name

KAYLA LYNNAH COSTIC

Original Issue Date

09/28/2020

Effective Date

09/28/2020

Expiration Date

03/31/2021

City

PEORIA

State

Zip

61614

Ever Disciplined

LastModifiedDate

07/20/2021