ADAM DOUGLAS MAYFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266560

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

DOUGLAS

Last Name

MAYFIELD

Business Name

ADAM DOUGLAS MAYFIELD

Original Issue Date

07/09/2019

Effective Date

07/09/2019

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63104

Ever Disciplined

LastModifiedDate

01/08/2021