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Evansco, Micki M - Pharmacist

Evansco, Micki M - (Pharmacist)

New Athens, MO 62264
License# : 2014037979 - Issued on : 10/24/2014
Doing Business As :
Licensee Name:Evansco, Micki M 
Profession Name:Pharmacist 
Licensee Number:2014037979  
Expiration Date:10/31/2016 
Original Issue Date:10/24/2014 
Address: 
Address Con't: 
City, State Zip:New Athens, IL 62264 
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