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Etchason, Bobby L - Pharmacist

Etchason, Bobby L - (Pharmacist)

Saint Louis, MO 63128
License# : 029042 - Issued on : 7/28/1975
Doing Business As :
Licensee Name:Etchason, Bobby L 
Profession Name:Pharmacist 
Licensee Number:029042  
Expiration Date:10/31/2016 
Original Issue Date:7/28/1975 
Address: 
Address Con't: 
City, State Zip:Saint Louis, MO 63128 
County:St. Louis County 
Practitioner DBA Name: 
Classification:  

Current Discipline Status:None

Certification Type:Effective Date:Expiration Date:
NOI - Administration By Protocol6/3/20156/1/2016
NOI - Administration By Medical Prescription Order6/3/20156/1/2016

Board of Pharmacy
3605 Missouri Boulevard
P.O. Box 625
Jefferson City, MO  65102-0625
573.751.0091 Telephone
573.526.3464 Fax
800.735.2966 TTY
800.735.2466 Voice Relay
MissouriBOP@pr.mo.gov
http://pr.mo.gov/pharmacists