KENT W KORMYLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049090106

License Status

NOT RENEWED

Business

First Name

KENT W

Last Name

KORMYLO

Business Name

KENT W KORMYLO

Original Issue Date

05/26/1989

Effective Date

05/26/1989

Expiration Date

03/31/1991

City

RACINE

State

Zip

53405

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005