MACKENNA LARAYE PROUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049293870

License Status

NOT RENEWED

Business

First Name

MACKENNA

Middle

LARAYE

Last Name

PROUT

Business Name

MACKENNA LARAYE PROUT

Original Issue Date

07/06/2022

Effective Date

07/06/2022

Expiration Date

03/31/2023

City

DONGOLA

State

Zip

62926

County

UNION

Ever Disciplined

LastModifiedDate

09/07/2023