NITA M SOUTHWORTH STIFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102897

License Status

NOT RENEWED

Business

First Name

NITA M

Last Name

SOUTHWORTH STIFF

Business Name

NITA M SOUTHWORTH STIFF

Original Issue Date

03/29/1993

Effective Date

03/05/2022

Expiration Date

03/31/2023

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

09/07/2023