LIBERTY MAE GORDON-CHURCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282090

License Status

NOT RENEWED

Business

First Name

LIBERTY

Middle

MAE

Last Name

GORDON-CHURCH

Business Name

LIBERTY MAE GORDON-CHURCH

Original Issue Date

05/07/2021

Effective Date

05/07/2021

Expiration Date

05/31/2022

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022