LACIANA M BERRY - Pharmacist License in Illinois | # 049267988

LACIANA M BERRY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267988

License Status

NOT RENEWED

Business

N

First Name

LACIANA

Middle

M

Last Name

BERRY

Business Name

LACIANA M BERRY

Original Issue Date

09/23/2019

Effective Date

09/23/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021