DEBRIEA PIONDRA LARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246492

License Status

NOT RENEWED

Business

First Name

DEBRIEA

Middle

PIONDRA

Last Name

LARK

Business Name

DEBRIEA PIONDRA LARK

Original Issue Date

11/22/2016

Effective Date

11/22/2016

Expiration Date

03/31/2017

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/10/2017