WILLIE JUSTIN DRAKE IV Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257213

License Status

NOT RENEWED

Business

First Name

WILLIE

Middle

JUSTIN

Last Name

DRAKE IV

Business Name

WILLIE JUSTIN DRAKE IV

Original Issue Date

04/02/2018

Effective Date

04/02/2018

Expiration Date

03/31/2019

City

FORD HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019