TODD ALLEN SANSOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175775

License Status

NOT RENEWED

Business

First Name

TODD

Middle

ALLEN

Last Name

SANSOM

Business Name

TODD ALLEN SANSOM

Original Issue Date

04/23/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

FENTON

State

Zip

63026

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/06/2009