LAURIE DENISE REVON Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049305661

License Status

ACTIVE

Business

First Name

LAURIE

Middle

DENISE

Last Name

REVON

Business Name

LAURIE DENISE REVON

Original Issue Date

09/10/2023

Effective Date

02/18/2025

Expiration Date

03/31/2026

City

SCOTT AIR FORCE BASE

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/30/2026