KIEARRA SHANTEE GIBSON - Pharmacist License in Illinois | # 049146448

KIEARRA SHANTEE GIBSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146448

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005