DURELL HAIRSTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149517

License Status

NOT RENEWED

Business

First Name

DURELL

Last Name

HAIRSTON

Business Name

DURELL HAIRSTON

Original Issue Date

07/17/2003

Effective Date

07/17/2003

Expiration Date

03/31/2005

City

EAST ST LOUIS

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005