VASHTII C VINES Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172979

License Status

INACTIVE

Business

First Name

VASHTII

Middle

Last Name

VINES

Business Name

VASHTII C VINES

Original Issue Date

12/05/2006

Effective Date

01/19/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

01/05/2011