DEJAHNAE SHABRIA SHANTELL LEVISON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260054

License Status

NOT RENEWED

Business

First Name

DEJAHNAE

Middle

SHABRIA SHANTELL

Last Name

LEVISON

Business Name

DEJAHNAE SHABRIA SHANTELL LEVISON

Original Issue Date

09/25/2018

Effective Date

03/19/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2021