PARIS TANIAH STATOM Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049318237

License Status

ACTIVE

Business

First Name

PARIS

Middle

TANIAH

Last Name

STATOM

Business Name

PARIS TANIAH STATOM

Original Issue Date

01/27/2025

Effective Date

02/25/2026

Expiration Date

03/31/2027

City

HAZEL CREST

State

Zip

60429

County

ADAMS

Ever Disciplined

LastModifiedDate

02/25/2026