JAKIA SHANESE BAZEMORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197553

License Status

NOT RENEWED

Business

First Name

JAKIA

Middle

SHANESE

Last Name

BAZEMORE

Business Name

JAKIA SHANESE BAZEMORE

Original Issue Date

03/30/2010

Effective Date

03/30/2010

Expiration Date

03/31/2011

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/12/2011