MACK A GASAWAY JR Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051019972

License Status

INACTIVE

Business

First Name

MACK A

Last Name

GASAWAY JR

Business Name

MACK A GASAWAY JR

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

ST. LOUIS

State

Zip

63136

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005