SHANTELL KIANI PETTY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271325

License Status

NOT RENEWED

Business

First Name

SHANTELL

Middle

KIANI

Last Name

PETTY

Business Name

SHANTELL KIANI PETTY

Original Issue Date

02/27/2020

Effective Date

02/27/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021