MIRANDA NICOLE PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049297565

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

NICOLE

Last Name

PAYNE

Business Name

MIRANDA NICOLE PAYNE

Original Issue Date

11/10/2022

Effective Date

11/10/2022

Expiration Date

03/31/2023

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/07/2023