KEYATTA SHANECKA BEASLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161577

License Status

NOT RENEWED

Business

First Name

KEYATTA

Middle

SHANECKA

Last Name

BEASLEY

Business Name

KEYATTA SHANECKA BEASLEY

Original Issue Date

06/08/2005

Effective Date

06/08/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006