KATRINA LATASHA WILEY Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197136

License Status

INACTIVE

Business

First Name

KATRINA

Middle

LATASHA

Last Name

WILEY

Business Name

KATRINA LATASHA WILEY

Original Issue Date

03/04/2010

Effective Date

03/19/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

01/04/2020