Evans, Jackie L - (Pharmacist)
Canton, MO 28716
License# : 040540 - Issued on : 10/20/1980
Doing Business As :
| Licensee Name: | Evans, Jackie L |
| Profession Name: | Pharmacist |
| Licensee Number: | 040540 |
| Expiration Date: | 10/31/2016 |
| Original Issue Date: | 10/20/1980 |
| Address: | |
| Address Con't: | |
| City, State Zip: | Canton, NC 28716 |
| County: | Unknown/Out of State |
| Practitioner DBA Name: | |
| Classification: |
| Current Discipline Status: | None |
| Action Taken: | Probation |
| Start Date: | 4/13/1988 |
| End Date: | 4/12/1993 |
| Terms: | Controlled substance recordkeeping violations, misappropriated controlled substances from employers for personal use, impaired pharmacist, voluntary surrender of Arkansas license. Section 338.055.2(1), (5), (8), (13), and (15), RSMo 1986. MO license #40540, which was voluntarily surrendered, was reinstated on Probation. |
| Action Taken: | Voluntary Surrender |
| Start Date: | 10/20/1987 |
| End Date: | |
| Terms: | Voluntary surrender of Arkansas license and drug abuse problem. |
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
