DEMETRIUS LAVENDER WADE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049289417

License Status

NOT RENEWED

Business

First Name

DEMETRIUS

Middle

LAVENDER

Last Name

WADE

Business Name

DEMETRIUS LAVENDER WADE

Original Issue Date

01/06/2022

Effective Date

01/06/2022

Expiration Date

03/31/2023

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023