BRIANNA SHALESE CHILDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260998

License Status

NOT RENEWED

Business

First Name

BRIANNA

Middle

SHALESE

Last Name

CHILDS

Business Name

BRIANNA SHALESE CHILDS

Original Issue Date

10/25/2018

Effective Date

10/25/2018

Expiration Date

03/31/2019

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/15/2019