RAVEN L CAMPBELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224875

License Status

NOT RENEWED

Business

First Name

RAVEN

Middle

Last Name

CAMPBELL

Business Name

RAVEN L CAMPBELL

Original Issue Date

04/28/2014

Effective Date

04/28/2014

Expiration Date

03/31/2015

City

EAST SAINT LOUIS

State

Zip

62203

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/21/2015

Case Number

2014008146

Action

Refuse To Renew

Discipline Start Date

09/08/2015

Discipline Reason

for being terminated from employment for diversion of controlled substances.