DYNASTY FANTASIA ROSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049294260

License Status

NOT RENEWED

Business

First Name

DYNASTY

Middle

FANTASIA

Last Name

ROSS

Business Name

DYNASTY FANTASIA ROSS

Original Issue Date

07/18/2022

Effective Date

07/18/2022

Expiration Date

03/31/2023

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/07/2023