LETIERRA M WILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205284

License Status

NOT RENEWED

Business

First Name

LETIERRA

Middle

Last Name

WILLIS

Prefix

Business Name

LETIERRA M WILLIS

Original Issue Date

07/12/2011

Effective Date

09/13/2019

Expiration Date

09/30/2020

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/08/2021