PAYTON ANN BRIDEGROOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049281526

License Status

NOT RENEWED

Business

First Name

PAYTON

Middle

ANN

Last Name

BRIDEGROOM

Business Name

PAYTON ANN BRIDEGROOM

Original Issue Date

04/13/2021

Effective Date

04/13/2021

Expiration Date

05/31/2022

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/27/2022