KYLE ALYSON WALCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119001

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

ALYSON

Last Name

WALCZAK

Business Name

KYLE ALYSON WALCZAK

Original Issue Date

10/08/1997

Effective Date

10/08/1997

Expiration Date

03/31/2004

City

NOBLESVILLE

State

Zip

46060

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005