DEBORAH GAULT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059589

License Status

NOT RENEWED

Business

First Name

DEBORAH

Last Name

GAULT

Business Name

DEBORAH GAULT

Original Issue Date

06/01/1973

Effective Date

06/01/1973

Expiration Date

01/01/1997

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005