CHEYENNE KA VANQUAKEBEKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240121

License Status

NOT RENEWED

Business

First Name

CHEYENNE

Middle

Last Name

VANQUAKEBEKE

Prefix

Business Name

CHEYENNE KA VANQUAKEBEKE

Original Issue Date

03/14/2016

Effective Date

01/14/2020

Expiration Date

03/31/2021

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/20/2021