KAYLYN DIANE DANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049297255

License Status

NOT RENEWED

Business

First Name

KAYLYN

Middle

DIANE

Last Name

DANE

Business Name

KAYLYN DIANE DANE

Original Issue Date

10/31/2022

Effective Date

10/31/2022

Expiration Date

03/31/2023

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/07/2023