TAWANDA LACREASE HEATHERLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128352

License Status

NOT RENEWED

Business

First Name

TAWANDA

Middle

LACREASE

Last Name

HEATHERLY

Business Name

TAWANDA LACREASE HEATHERLY

Original Issue Date

11/23/1999

Effective Date

11/23/1999

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005