DEAVIAN WALLINGTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049292258

License Status

NOT RENEWED

Business

First Name

DEAVIAN

Last Name

WALLINGTON

Business Name

DEAVIAN WALLINGTON

Original Issue Date

04/25/2022

Effective Date

04/25/2022

Expiration Date

03/31/2023

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023