CARRIE ILA LEE DEPUYDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278743

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

ILA LEE

Last Name

DEPUYDT

Business Name

CARRIE ILA LEE DEPUYDT

Original Issue Date

01/21/2021

Effective Date

01/21/2021

Expiration Date

05/31/2022

City

DAVENPORT

State

Zip

52806

Ever Disciplined

LastModifiedDate

07/27/2022