OCTAVIA DE-NATA SHERRILL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155782

License Status

NOT RENEWED

Business

First Name

OCTAVIA

Middle

DE-NATA

Last Name

SHERRILL

Business Name

OCTAVIA DE-NATA SHERRILL

Original Issue Date

06/28/2004

Effective Date

03/24/2021

Expiration Date

05/31/2022

City

MURPHYSBORO

State

Zip

62966

Ever Disciplined

LastModifiedDate

07/27/2022