TIERRA DEJA BROWN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263830

License Status

NOT RENEWED

Business

First Name

TIERRA

Middle

DEJA

Last Name

BROWN

Business Name

TIERRA DEJA BROWN

Original Issue Date

03/28/2019

Effective Date

03/28/2019

Expiration Date

09/30/2020

City

PLAINFIELD

State

Zip

60585

County

ADAMS

Ever Disciplined

LastModifiedDate

01/08/2021