MACIE RAE DECKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263906

License Status

NOT RENEWED

Business

First Name

MACIE

Middle

RAE

Last Name

DECKER

Business Name

MACIE RAE DECKER

Original Issue Date

04/03/2019

Effective Date

03/15/2021

Expiration Date

05/31/2022

City

HANNIBAL

State

Zip

63401

County

ADAMS

Ever Disciplined

LastModifiedDate

07/27/2022