MYANA NICOLE ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286014

License Status

NOT RENEWED

Business

First Name

MYANA

Middle

NICOLE

Last Name

ANDERSON

Business Name

MYANA NICOLE ANDERSON

Original Issue Date

10/04/2021

Effective Date

04/04/2024

Expiration Date

03/31/2025

City

BELLEVILLE

State

Zip

62220

County

ADAMS

Ever Disciplined

LastModifiedDate

07/08/2025