MCKENZIE PAILOD WANNAHWILAI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280924

License Status

NOT RENEWED

Business

First Name

MCKENZIE

Middle

PAILOD

Last Name

WANNAHWILAI

Business Name

MCKENZIE PAILOD WANNAHWILAI

Original Issue Date

04/01/2021

Effective Date

04/01/2021

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61104

Ever Disciplined

LastModifiedDate

07/27/2022