SHAWANNA LATRICE WILEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049309057

License Status

NOT RENEWED

Business

First Name

SHAWANNA

Middle

LATRICE

Last Name

WILEY

Business Name

SHAWANNA LATRICE WILEY

Original Issue Date

01/12/2024

Effective Date

01/12/2024

Expiration Date

03/31/2025

City

PARK CITY

State

Zip

60085

Ever Disciplined

LastModifiedDate

07/08/2025