KINESHA M SPAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210026

License Status

NOT RENEWED

Business

First Name

KINESHA

Middle

Last Name

SPAN

Prefix

Business Name

KINESHA M SPAN

Original Issue Date

03/30/2012

Effective Date

02/18/2020

Expiration Date

03/31/2021

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

07/20/2021