SALLY L LACKEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091026

License Status

NOT RENEWED

Business

First Name

SALLY L

Last Name

LACKEY

Business Name

SALLY L LACKEY

Original Issue Date

08/25/1989

Effective Date

01/16/2014

Expiration Date

03/31/2015

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/11/2015