BROCK PONTIOUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180281

License Status

NOT RENEWED

Business

First Name

BROCK

Last Name

PONTIOUS

Business Name

BROCK PONTIOUS

Original Issue Date

10/31/2007

Effective Date

03/23/2017

Expiration Date

03/31/2018

City

SAINT LOUIS

State

Zip

63104

Ever Disciplined

LastModifiedDate

06/19/2018