AYESHA KENYETTA SHABAZZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049302451

License Status

NOT RENEWED

Business

First Name

AYESHA

Middle

KENYETTA

Last Name

SHABAZZ

Business Name

AYESHA KENYETTA SHABAZZ

Original Issue Date

05/16/2023

Effective Date

05/16/2023

Expiration Date

03/31/2024

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2025