TAIHITIA KHALIAH SHELBY-WYNN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217934

License Status

NOT RENEWED

Business

First Name

TAIHITIA

Middle

KHALIAH

Last Name

SHELBY-WYNN

Business Name

TAIHITIA KHALIAH SHELBY-WYNN

Original Issue Date

05/16/2013

Effective Date

04/24/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015