MYA LANAE SIMMONS - Pharmacist License in Illinois | # 049263071

MYA LANAE SIMMONS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263071

License Status

NOT RENEWED

Business

N

First Name

MYA

Middle

LANAE

Last Name

SIMMONS

Business Name

MYA LANAE SIMMONS

Original Issue Date

02/06/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021