DAMON T MAPLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198574

License Status

NOT RENEWED

Business

First Name

DAMON

Middle

Last Name

MAPLE

Business Name

DAMON T MAPLE

Original Issue Date

05/27/2010

Effective Date

01/23/2015

Expiration Date

03/31/2016

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

05/20/2016