JERRY O LACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076204

License Status

NOT RENEWED

Business

First Name

JERRY O

Last Name

LACY

Business Name

JERRY O LACY

Original Issue Date

03/26/1982

Effective Date

03/26/1982

Expiration Date

03/31/1984

City

BENSENVILLE

State

Zip

60106

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005