QUSHONDA TENNILLE SHIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207737

License Status

NOT RENEWED

Business

First Name

QUSHONDA

Middle

TENNILLE

Last Name

SHIELDS

Business Name

QUSHONDA TENNILLE SHIELDS

Original Issue Date

11/10/2011

Effective Date

03/22/2012

Expiration Date

03/31/2013

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

11/18/2014