OPAL M BACON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184682

License Status

NOT RENEWED

Business

First Name

OPAL

Middle

Last Name

BACON

Prefix

Business Name

OPAL M BACON

Original Issue Date

06/03/2008

Effective Date

02/13/2014

Expiration Date

03/31/2015

City

SAINT LOUIS

State

Zip

63104

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/11/2015