KENYIATTA JAMIYA TATE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262000

License Status

NOT RENEWED

Business

First Name

KENYIATTA

Middle

JAMIYA

Last Name

TATE

Business Name

KENYIATTA JAMIYA TATE

Original Issue Date

12/10/2018

Effective Date

01/16/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021