LORA M LACEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114924

License Status

NOT RENEWED

Business

First Name

LORA

Middle

Last Name

LACEY

Business Name

LORA M LACEY

Original Issue Date

08/09/1996

Effective Date

08/09/1996

Expiration Date

03/31/2000

City

GLENWOOD

State

Zip

60425

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005