CHANTELLE C PRUETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231094

License Status

NOT RENEWED

Business

First Name

CHANTELLE

Middle

Last Name

PRUETT

Business Name

CHANTELLE C PRUETT

Original Issue Date

02/11/2015

Effective Date

03/28/2019

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

01/08/2021