TIEREASEDVOR NELL SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248925

License Status

NOT RENEWED

Business

First Name

TIEREASEDVOR

Middle

NELL

Last Name

SHAW

Business Name

TIEREASEDVOR NELL SHAW

Original Issue Date

03/07/2017

Effective Date

03/07/2017

Expiration Date

03/31/2018

City

SHILOH

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/19/2018