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Evans, Antonina G - Pharmacist

Evans, Antonina G - (Pharmacist)

Henderson, MO 89074
License# : 040272 - Issued on : 10/25/1979
Doing Business As :
Licensee Name:Evans, Antonina G 
Profession Name:Pharmacist 
Licensee Number:040272  
Expiration Date:10/31/2016 
Original Issue Date:10/25/1979 
Address: 
Address Con't: 
City, State Zip:Henderson, NV 89074 
County:Unknown/Out of State 
Practitioner DBA Name: 
Classification:  

Current Discipline Status:None

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