TERRONICA SHAFAYE ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267467

License Status

NOT RENEWED

Business

First Name

TERRONICA

Middle

SHAFAYE

Last Name

ANDERSON

Business Name

TERRONICA SHAFAYE ANDERSON

Original Issue Date

08/22/2019

Effective Date

08/22/2019

Expiration Date

09/30/2020

City

LOUISVILLE

State

Zip

40242

County

JEFFERSON

Ever Disciplined

LastModifiedDate

01/08/2021