PAYTON NICHOLE THERIEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259265

License Status

NOT RENEWED

Business

First Name

PAYTON

Middle

NICHOLE

Last Name

THERIEN

Business Name

PAYTON NICHOLE THERIEN

Original Issue Date

08/21/2018

Effective Date

01/14/2020

Expiration Date

03/31/2021

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

01/07/2025