DELORIA LASHAE PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117580

License Status

NOT RENEWED

Business

First Name

DELORIA

Middle

LASHAE

Last Name

PAYNE

Business Name

DELORIA LASHAE PAYNE

Original Issue Date

05/14/1997

Effective Date

10/16/2007

Expiration Date

03/31/2008

City

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008