MAYA SHERRELL RUSS-ACOSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049302386

License Status

NOT RENEWED

Business

First Name

MAYA

Middle

SHERRELL

Last Name

RUSS-ACOSTA

Business Name

MAYA SHERRELL RUSS-ACOSTA

Original Issue Date

05/12/2023

Effective Date

05/12/2023

Expiration Date

03/31/2024

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

01/03/2025