KENYATTA M SHEALEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163572

License Status

NOT RENEWED

Business

First Name

KENYATTA

Middle

Last Name

SHEALEY

Business Name

KENYATTA M SHEALEY

Original Issue Date

09/06/2005

Effective Date

09/06/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006