FANYANNA FAYETTA EDWARDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049311660

License Status

NOT RENEWED

Business

First Name

FANYANNA

Middle

FAYETTA

Last Name

EDWARDS

Business Name

FANYANNA FAYETTA EDWARDS

Original Issue Date

04/25/2024

Effective Date

04/25/2024

Expiration Date

03/31/2025

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

07/08/2025