JAIDA LAVERGNE FOURTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049283105

License Status

NOT RENEWED

Business

First Name

JAIDA

Middle

LAVERGNE

Last Name

FOURTE

Business Name

JAIDA LAVERGNE FOURTE

Original Issue Date

06/10/2021

Effective Date

06/10/2021

Expiration Date

05/31/2022

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022