DERRICK J LATHON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226082

License Status

NOT RENEWED

Business

First Name

DERRICK

Middle

Last Name

LATHON

Business Name

DERRICK J LATHON

Original Issue Date

06/21/2014

Effective Date

07/06/2018

Expiration Date

03/31/2019

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

07/15/2019