JACQUELINE K WYATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194953

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

WYATT

Business Name

JACQUELINE K WYATT

Original Issue Date

10/20/2009

Effective Date

01/10/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014