LAKIETA M DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049275394

License Status

NOT RENEWED

Business

First Name

LAKIETA

Middle

Last Name

DAVIS

Business Name

LAKIETA M DAVIS

Original Issue Date

08/28/2020

Effective Date

03/09/2021

Expiration Date

05/31/2022

City

SOUTH HOLLAND

State

Zip

60473

Ever Disciplined

LastModifiedDate

07/27/2022