HEAVEN COBB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049270062

License Status

NOT RENEWED

Business

First Name

HEAVEN

Last Name

COBB

Business Name

HEAVEN COBB

Original Issue Date

12/30/2019

Effective Date

03/18/2021

Expiration Date

05/31/2022

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/27/2022