SHANNAN LYNNE GRIDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271618

License Status

NOT RENEWED

Business

First Name

SHANNAN

Middle

LYNNE

Last Name

GRIDER

Business Name

SHANNAN LYNNE GRIDER

Original Issue Date

03/19/2020

Effective Date

03/19/2020

Expiration Date

03/31/2021

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/20/2021