DEMETRIUS LAVENDER WADE - Pharmacist License in Illinois | # 049289417

DEMETRIUS LAVENDER WADE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049289417

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/07/2023