LAKASHA DENISE WADE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124757

License Status

NOT RENEWED

Business

First Name

LAKASHA

Middle

DENISE

Last Name

WADE

Business Name

LAKASHA DENISE WADE

Original Issue Date

02/19/1999

Effective Date

02/19/1999

Expiration Date

03/31/2003

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005