SIERRA DOMINIQUE STEPHENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252892

License Status

NOT RENEWED

Business

First Name

SIERRA

Middle

DOMINIQUE

Last Name

STEPHENS

Business Name

SIERRA DOMINIQUE STEPHENS

Original Issue Date

09/11/2017

Effective Date

03/18/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022