NE’VAEH SERENITY RICHARDSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288474

License Status

NOT RENEWED

Business

First Name

NE’VAEH

Middle

SERENITY

Last Name

RICHARDSON

Business Name

NE’VAEH SERENITY RICHARDSON

Original Issue Date

11/29/2021

Effective Date

11/29/2021

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022