DERRICK J LATHON - Pharmacist License in Missouri | # 049226082

DERRICK J LATHON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226082

License Status

NOT RENEWED

Business

N

First Name

DERRICK

Middle

J

Last Name

LATHON

Business Name

DERRICK J LATHON

Original Issue Date

06/21/2014

Effective Date

07/06/2018

Expiration Date

03/31/2019

State

MO

Ever Disciplined

N

LastModifiedDate

07/15/2019