TIANA MONIQUE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288671

License Status

NOT RENEWED

Business

First Name

TIANA

Middle

MONIQUE

Last Name

SMITH

Business Name

TIANA MONIQUE SMITH

Original Issue Date

12/08/2021

Effective Date

12/08/2021

Expiration Date

05/31/2022

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/27/2022