DERRICA DENISE POWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271665

License Status

NOT RENEWED

Business

First Name

DERRICA

Middle

DENISE

Last Name

POWELL

Business Name

DERRICA DENISE POWELL

Original Issue Date

03/24/2020

Effective Date

03/24/2020

Expiration Date

03/31/2021

City

EAST SAINT LOUIS

State

Zip

62203

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/20/2021