KYLEE SHAY DIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049281592

License Status

NOT RENEWED

Business

First Name

KYLEE

Middle

SHAY

Last Name

DIVAN

Business Name

KYLEE SHAY DIVAN

Original Issue Date

04/14/2021

Effective Date

04/14/2021

Expiration Date

05/31/2022

City

OAKWOOD

State

Zip

61858

County

VERMILION

Ever Disciplined

LastModifiedDate

07/27/2022