SHANTISSA HARRIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246961

License Status

NOT RENEWED

Business

First Name

SHANTISSA

Last Name

HARRIS

Business Name

SHANTISSA HARRIS

Original Issue Date

12/09/2016

Effective Date

12/09/2016

Expiration Date

03/31/2017

City

EAST ST LOUIS

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/10/2017