TAYLOR DEATHERAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277857

License Status

NOT RENEWED

Business

First Name

TAYLOR

Last Name

DEATHERAGE

Business Name

TAYLOR DEATHERAGE

Original Issue Date

12/09/2020

Effective Date

03/19/2021

Expiration Date

05/31/2022

City

VINCENNES

State

Zip

47591

Ever Disciplined

LastModifiedDate

07/27/2022