SHANIQUA T RAYFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149463

License Status

NOT RENEWED

Business

First Name

SHANIQUA

Middle

Last Name

RAYFORD

Business Name

SHANIQUA T RAYFORD

Original Issue Date

07/14/2003

Effective Date

08/14/2014

Expiration Date

03/31/2015

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2015