KEYDEEN ULANDA IVEY MOUYAGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167786

License Status

NOT RENEWED

Business

First Name

KEYDEEN

Middle

ULANDA

Last Name

IVEY MOUYAGA

Business Name

KEYDEEN ULANDA IVEY MOUYAGA

Original Issue Date

04/13/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

PLEASANT PRAIRIE

State

Zip

53158

Ever Disciplined

LastModifiedDate

05/02/2008