SAMANTHA LEE LACY - Pharmacist License in Indiana | # 049249730

SAMANTHA LEE LACY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249730

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

LEE

Last Name

LACY

Business Name

SAMANTHA LEE LACY

Original Issue Date

04/07/2017

Effective Date

04/07/2017

Expiration Date

03/31/2018

State

IN

Ever Disciplined

N

LastModifiedDate

06/19/2018