MCKENNAH COLETTE VAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279717

License Status

NOT RENEWED

Business

First Name

MCKENNAH

Middle

COLETTE

Last Name

VAN

Business Name

MCKENNAH COLETTE VAN

Original Issue Date

02/19/2021

Effective Date

02/19/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022