KHAIYA DENISE MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258052

License Status

NOT RENEWED

Business

First Name

KHAIYA

Middle

DENISE

Last Name

MARTIN

Business Name

KHAIYA DENISE MARTIN

Original Issue Date

05/18/2018

Effective Date

05/18/2018

Expiration Date

03/31/2019

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019