IESHIA FATIMA STREET Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176432

License Status

NOT RENEWED

Business

First Name

IESHIA

Middle

FATIMA

Last Name

STREET

Business Name

IESHIA FATIMA STREET

Original Issue Date

05/17/2007

Effective Date

05/17/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2014