TRAVIS WILLIAM MERRELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201670

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

WILLIAM

Last Name

MERRELL

Business Name

TRAVIS WILLIAM MERRELL

Original Issue Date

11/23/2010

Effective Date

04/20/2011

Expiration Date

03/31/2012

City

MOWEAQUA

State

Zip

62550

County

SHELBY

Ever Disciplined

LastModifiedDate

05/07/2012