MYCHAE LAFAYE RENEE BAILEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276698

License Status

NOT RENEWED

Business

First Name

MYCHAE

Middle

LAFAYE RENEE

Last Name

BAILEY

Business Name

MYCHAE LAFAYE RENEE BAILEY

Original Issue Date

10/16/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

MERRILLVILLE

State

Zip

46410

Ever Disciplined

LastModifiedDate

07/27/2022