MISHAYLA M CLEMONS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148445

License Status

NOT RENEWED

Business

First Name

MISHAYLA

Middle

Last Name

CLEMONS

Business Name

MISHAYLA M CLEMONS

Original Issue Date

05/06/2003

Effective Date

05/06/2003

Expiration Date

03/31/2005

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005