INEISHA SHAVVONNA WITHERSPOON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259796

License Status

NOT RENEWED

Business

First Name

INEISHA

Middle

SHAVVONNA

Last Name

WITHERSPOON

Business Name

INEISHA SHAVVONNA WITHERSPOON

Original Issue Date

09/19/2018

Effective Date

09/19/2018

Expiration Date

03/31/2019

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2019