NANCY RENEA SHORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253434

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

RENEA

Last Name

SHORT

Business Name

NANCY RENEA SHORT

Original Issue Date

09/28/2017

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022