TIERRA E STURDIVANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242864

License Status

NOT RENEWED

Business

First Name

TIERRA

Middle

Last Name

STURDIVANT

Prefix

Business Name

TIERRA E STURDIVANT

Original Issue Date

06/30/2016

Effective Date

03/10/2017

Expiration Date

03/31/2018

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

06/19/2018