KAYLA LENNA BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049285940

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

LENNA

Last Name

BLACK

Business Name

KAYLA LENNA BLACK

Original Issue Date

10/01/2021

Effective Date

10/01/2021

Expiration Date

05/31/2022

City

MICHIGAN CITY

State

Zip

46360

Ever Disciplined

LastModifiedDate

07/27/2022