CIERRA NICOLE MELLENTHIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049297243

License Status

NOT RENEWED

Business

First Name

CIERRA

Middle

NICOLE

Last Name

MELLENTHIN

Business Name

CIERRA NICOLE MELLENTHIN

Original Issue Date

10/31/2022

Effective Date

10/31/2022

Expiration Date

03/31/2023

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

09/07/2023

Case Number

2023005168

Action

Suspension

Discipline Start Date

08/14/2023

Discipline Reason

Failure to file and/or pay Illinois state income taxes.