KEYATTA SHANECKA BEASLEY - Pharmacist License in Illinois | # 049161577

KEYATTA SHANECKA BEASLEY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161577

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006