ISOM L LACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051015867

License Status

NOT RENEWED

Business

First Name

ISOM L

Last Name

LACY

Business Name

ISOM L LACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

LOS ANGELES

State

Zip

90043

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005