BOBBY LEAVORN ETCHASON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030456

License Status

NOT RENEWED

Business

First Name

BOBBY LEAVORN

Last Name

ETCHASON

Business Name

BOBBY LEAVORN ETCHASON

Original Issue Date

07/25/1975

Effective Date

01/16/2018

Expiration Date

09/30/2020

City

ST LOUIS

State

Zip

63128

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021