JACKSON DOUGLAS CLARK MORELAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151778

License Status

NOT RENEWED

Business

First Name

JACKSON DOUGLAS

Middle

CLARK

Last Name

MORELAND

Business Name

JACKSON DOUGLAS CLARK MORELAND

Original Issue Date

10/21/2003

Effective Date

02/16/2021

Expiration Date

05/31/2022

City

SAINT LOUIS

State

Zip

63104

Ever Disciplined

LastModifiedDate

07/27/2022