LAKEISHA M THEDFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155299

License Status

NOT RENEWED

Business

First Name

LAKEISHA

Middle

Last Name

THEDFORD

Business Name

LAKEISHA M THEDFORD

Original Issue Date

06/17/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

EAST ST LOUIS

State

Zip

62204

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/23/2007