JAKIA SHANESE BAZEMORE - Pharmacist License in Illinois | # 049197553

JAKIA SHANESE BAZEMORE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197553

License Status

NOT RENEWED

Business

N

First Name

JAKIA

Middle

SHANESE

Last Name

BAZEMORE

Business Name

JAKIA SHANESE BAZEMORE

Original Issue Date

03/30/2010

Effective Date

03/30/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011