SHANIECE R DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265709

License Status

NOT RENEWED

Business

First Name

SHANIECE

Middle

Last Name

DOUGLAS

Business Name

SHANIECE R DOUGLAS

Original Issue Date

05/31/2019

Effective Date

05/31/2019

Expiration Date

09/30/2020

City

EAST SAINT LOUIS

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/08/2021