BREALE KENYATTA GOODWIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049316274

License Status

NOT RENEWED

Business

First Name

BREALE

Middle

KENYATTA

Last Name

GOODWIN

Business Name

BREALE KENYATTA GOODWIN

Original Issue Date

11/04/2024

Effective Date

11/04/2024

Expiration Date

03/31/2025

City

MARKHAM

State

Zip

60428

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2025