MIRANDA JOSEPHINE WHITAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268371

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

JOSEPHINE

Last Name

WHITAKER

Business Name

MIRANDA JOSEPHINE WHITAKER

Original Issue Date

10/09/2019

Effective Date

10/09/2019

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/08/2021