CANDICE LATRECE PEAVY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164477

License Status

NOT RENEWED

Business

First Name

CANDICE

Middle

LATRECE

Last Name

PEAVY

Business Name

CANDICE LATRECE PEAVY

Original Issue Date

09/20/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008