ARIANA PATRISE SAMPLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049295418

License Status

NOT RENEWED

Business

First Name

ARIANA

Middle

PATRISE

Last Name

SAMPLE

Business Name

ARIANA PATRISE SAMPLE

Original Issue Date

08/30/2022

Effective Date

03/15/2023

Expiration Date

03/31/2024

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

01/03/2025