MIRANDA LYNN PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215125

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

LYNN

Last Name

PAYNE

Business Name

MIRANDA LYNN PAYNE

Original Issue Date

12/21/2012

Effective Date

03/13/2018

Expiration Date

03/31/2019

City

GRAND RIDGE

State

Zip

61325

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/15/2019