SIERRA SHANTEE NICHOLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049274211

License Status

NOT RENEWED

Business

First Name

SIERRA

Middle

SHANTEE

Last Name

NICHOLS

Business Name

SIERRA SHANTEE NICHOLS

Original Issue Date

07/10/2020

Effective Date

07/10/2020

Expiration Date

03/31/2021

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/20/2021