KEYANA L ADDISON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194080

License Status

NOT RENEWED

Business

First Name

KEYANA

Middle

Last Name

ADDISON

Business Name

KEYANA L ADDISON

Original Issue Date

09/08/2009

Effective Date

06/13/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013

Case Number

2011007105

Action

Suspension

Discipline Start Date

10/15/2011

Discipline End Date

01/03/2012

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 01/04/2012.