MIRANDA ALEXIS DOUGLAS - Pharmacist License in Illinois | # 049294034

MIRANDA ALEXIS DOUGLAS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049294034

License Status

NOT RENEWED

Business

N

First Name

MIRANDA

Middle

ALEXIS

Last Name

DOUGLAS

Business Name

MIRANDA ALEXIS DOUGLAS

Original Issue Date

07/11/2022

Effective Date

03/19/2024

Expiration Date

03/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

07/08/2025