BASHANDA ANN PEAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268789

License Status

NOT RENEWED

Business

First Name

BASHANDA

Middle

ANN

Last Name

PEAY

Business Name

BASHANDA ANN PEAY

Original Issue Date

10/21/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

07/20/2021