IRYONNA LATRICE GAUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239199

License Status

NOT RENEWED

Business

First Name

IRYONNA

Middle

LATRICE

Last Name

GAUSE

Business Name

IRYONNA LATRICE GAUSE

Original Issue Date

01/28/2016

Effective Date

01/28/2016

Expiration Date

03/31/2017

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017