MACKENZIE MARIE GANNON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259949

License Status

NOT RENEWED

Business

First Name

MACKENZIE

Middle

MARIE

Last Name

GANNON

Business Name

MACKENZIE MARIE GANNON

Original Issue Date

09/20/2018

Effective Date

09/20/2018

Expiration Date

03/31/2019

City

MILLSTADT

State

Zip

62260

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/15/2019