CHEYANNE R PARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267058

License Status

NOT RENEWED

Business

First Name

CHEYANNE

Middle

Last Name

PARK

Business Name

CHEYANNE R PARK

Original Issue Date

08/02/2019

Effective Date

03/16/2021

Expiration Date

05/31/2022

City

ATLANTA

State

Zip

61723

County

LOGAN

Ever Disciplined

LastModifiedDate

07/27/2022