LAQUISHA MARIE TRAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130789

License Status

NOT RENEWED

Business

First Name

LAQUISHA

Middle

MARIE

Last Name

TRAVIS

Business Name

LAQUISHA MARIE TRAVIS

Original Issue Date

05/09/2000

Effective Date

05/09/2000

Expiration Date

03/31/2001

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005