KIEARRA SHANTEE GIBSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146448

License Status

NOT RENEWED

Business

First Name

KIEARRA

Middle

SHANTEE

Last Name

GIBSON

Business Name

KIEARRA SHANTEE GIBSON

Original Issue Date

12/19/2002

Effective Date

12/19/2002

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005