KAYLA SUE MOEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189189

License Status

INACTIVE

Business

First Name

KAYLA

Middle

SUE

Last Name

MOEN

Business Name

KAYLA SUE MOEN

Original Issue Date

01/14/2009

Effective Date

01/19/2017

Expiration Date

03/31/2018

City

GREENWOOD

State

Zip

46143

Ever Disciplined

LastModifiedDate

06/14/2022