KACY L JETTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157942

License Status

NOT RENEWED

Business

First Name

KACY

Middle

Last Name

JETTON

Business Name

KACY L JETTON

Original Issue Date

11/18/2004

Effective Date

03/22/2012

Expiration Date

03/31/2013

City

BALLWIN

State

Zip

63011

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/06/2013