MELISSA A LACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079160

License Status

NOT RENEWED

Business

First Name

MELISSA A

Last Name

LACY

Business Name

MELISSA A LACY

Original Issue Date

11/03/1983

Effective Date

11/03/1983

Expiration Date

03/31/1986

City

PLEASANT PLAINS

State

Zip

62677

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005