DAKOTAH GRACE JEFFERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278779

License Status

NOT RENEWED

Business

First Name

DAKOTAH

Middle

GRACE

Last Name

JEFFERSON

Business Name

DAKOTAH GRACE JEFFERSON

Original Issue Date

01/21/2021

Effective Date

01/21/2021

Expiration Date

05/31/2022

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022