MISTY NICOLE PRATER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171052

License Status

NOT RENEWED

Business

First Name

MISTY

Middle

NICOLE

Last Name

PRATER

Business Name

MISTY NICOLE PRATER

Original Issue Date

09/05/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008