REQUAYA C HOLSEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165375

License Status

NOT RENEWED

Business

First Name

REQUAYA

Middle

Last Name

HOLSEY

Business Name

REQUAYA C HOLSEY

Original Issue Date

12/05/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007