DEANDRA NALISA FAIRLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146679

License Status

NOT RENEWED

Business

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

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008