TABITHA L CHENNAULT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049283897

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

Last Name

CHENNAULT

Business Name

TABITHA L CHENNAULT

Original Issue Date

07/02/2021

Effective Date

07/02/2021

Expiration Date

05/31/2022

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022