TIMOTHY ROGER BACON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267572

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

ROGER

Last Name

BACON

Business Name

TIMOTHY ROGER BACON

Original Issue Date

08/29/2019

Effective Date

08/29/2019

Expiration Date

09/30/2020

City

FLORISSANT

State

Zip

63031

Ever Disciplined

LastModifiedDate

01/08/2021