AUGUSTA ANNETTE WILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153386

License Status

NOT RENEWED

Business

First Name

AUGUSTA

Middle

ANNETTE

Last Name

WILLIS

Business Name

AUGUSTA ANNETTE WILLIS

Original Issue Date

03/01/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009