CANDICE SHANTEL GOETHE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049270006

License Status

NOT RENEWED

Business

First Name

CANDICE

Middle

SHANTEL

Last Name

GOETHE

Business Name

CANDICE SHANTEL GOETHE

Original Issue Date

12/24/2019

Effective Date

12/24/2019

Expiration Date

09/30/2020

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/08/2021