TIAH MICHELLE GIDDENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266861

License Status

NOT RENEWED

Business

First Name

TIAH

Middle

MICHELLE

Last Name

GIDDENS

Business Name

TIAH MICHELLE GIDDENS

Original Issue Date

07/25/2019

Effective Date

07/25/2019

Expiration Date

09/30/2020

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

01/08/2021