MAUDE B LACKEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049050594

License Status

NOT RENEWED

Business

First Name

MAUDE B

Last Name

LACKEY

Business Name

MAUDE B LACKEY

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

PULASKI

State

Zip

62976

County

PULASKI

Ever Disciplined

LastModifiedDate

10/17/2005