KYLE RUSSELL BOUGHTER Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049313097

License Status

ACTIVE

Business

First Name

KYLE

Middle

RUSSELL

Last Name

BOUGHTER

Business Name

KYLE RUSSELL BOUGHTER

Original Issue Date

06/18/2024

Effective Date

02/21/2025

Expiration Date

03/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/30/2026