AYANNA LYNN GILLIAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134019

License Status

NOT RENEWED

Business

First Name

AYANNA

Middle

LYNN

Last Name

GILLIAM

Business Name

AYANNA LYNN GILLIAM

Original Issue Date

12/12/2000

Effective Date

12/12/2000

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005