NYLA M GANTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049291436

License Status

NOT RENEWED

Business

First Name

NYLA

Middle

Last Name

GANTT

Business Name

NYLA M GANTT

Original Issue Date

03/18/2022

Effective Date

03/18/2022

Expiration Date

03/31/2023

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

09/07/2023