SHANTIECE S SIMMONS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212793

License Status

NOT RENEWED

Business

First Name

SHANTIECE

Middle

Last Name

SIMMONS

Business Name

SHANTIECE S SIMMONS

Original Issue Date

08/10/2012

Effective Date

04/12/2024

Expiration Date

03/31/2025

City

GARY

State

Zip

46403

Ever Disciplined

LastModifiedDate

07/08/2025