TYLER JORDAN SHIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049296808

License Status

NOT RENEWED

Business

First Name

TYLER

Middle

JORDAN

Last Name

SHIELDS

Business Name

TYLER JORDAN SHIELDS

Original Issue Date

10/19/2022

Effective Date

10/19/2022

Expiration Date

03/31/2023

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/07/2023