DEANDRA NALISA FAIRLEY - Pharmacist License in Illinois | # 049146679

DEANDRA NALISA FAIRLEY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146679

License Status

NOT RENEWED

Business

N

First Name

DEANDRA

Middle

NALISA

Last Name

FAIRLEY

Business Name

DEANDRA NALISA FAIRLEY

Original Issue Date

01/09/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008