NAKIYAH CHARNETTE SLATER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277514

License Status

NOT RENEWED

Business

First Name

NAKIYAH

Middle

CHARNETTE

Last Name

SLATER

Business Name

NAKIYAH CHARNETTE SLATER

Original Issue Date

11/20/2020

Effective Date

02/11/2021

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2022