KAYLA RAE FORMAN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049302162

License Status

ACTIVE

Business

First Name

KAYLA

Middle

RAE

Last Name

FORMAN

Business Name

KAYLA RAE FORMAN

Original Issue Date

05/05/2023

Effective Date

03/11/2026

Expiration Date

03/31/2027

City

STEGER

State

Zip

60475

County

KANE

Ever Disciplined

LastModifiedDate

03/11/2026