HEAVEN LAFAY CAMPBELL - Pharmacist License in Illinois | # 049269931

HEAVEN LAFAY CAMPBELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269931

License Status

NOT RENEWED

Business

N

First Name

HEAVEN

Middle

LAFAY

Last Name

CAMPBELL

Business Name

HEAVEN LAFAY CAMPBELL

Original Issue Date

12/19/2019

Effective Date

12/19/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021