GERALD J LACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087893

License Status

NOT RENEWED

Business

First Name

GERALD J

Last Name

LACY

Business Name

GERALD J LACY

Original Issue Date

09/24/1988

Effective Date

09/24/1988

Expiration Date

03/31/1993

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005