KYISHA TRAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192679

License Status

NOT RENEWED

Business

First Name

KYISHA

Last Name

TRAVIS

Prefix

Business Name

KYISHA TRAVIS

Original Issue Date

06/29/2009

Effective Date

02/15/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013