SHATARA NATASHA MATHIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259391

License Status

NOT RENEWED

Business

First Name

SHATARA

Middle

NATASHA

Last Name

MATHIS

Business Name

SHATARA NATASHA MATHIS

Original Issue Date

09/05/2018

Effective Date

02/07/2019

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/08/2021