OCTAVYA LATICIA FEAZELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263616

License Status

NOT RENEWED

Business

First Name

OCTAVYA

Middle

LATICIA

Last Name

FEAZELL

Business Name

OCTAVYA LATICIA FEAZELL

Original Issue Date

02/28/2019

Effective Date

02/28/2019

Expiration Date

09/30/2020

City

HILLSIDE

State

Zip

60162

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021