LA SHAWNA DENISE BLAKELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109037

License Status

NOT RENEWED

Business

First Name

LA SHAWNA

Middle

DENISE

Last Name

BLAKELY

Business Name

LA SHAWNA DENISE BLAKELY

Original Issue Date

12/09/1994

Effective Date

10/14/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009