AMYA KALEITHA DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253926

License Status

NOT RENEWED

Business

First Name

AMYA

Middle

KALEITHA

Last Name

DOUGLAS

Business Name

AMYA KALEITHA DOUGLAS

Original Issue Date

10/24/2017

Effective Date

10/24/2017

Expiration Date

03/31/2018

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/19/2018