AYESHA RICKETTA BROWN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165755

License Status

NOT RENEWED

Business

First Name

AYESHA

Middle

RICKETTA

Last Name

BROWN

Business Name

AYESHA RICKETTA BROWN

Original Issue Date

12/21/2005

Effective Date

02/10/2010

Expiration Date

03/31/2011

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/12/2011