OCTAVYA LATICIA FEAZELL - Pharmacist License in Illinois | # 049263616

OCTAVYA LATICIA FEAZELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263616

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021