LUCY J MANSFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142879

License Status

NOT RENEWED

Business

First Name

LUCY

Middle

Last Name

MANSFIELD

Business Name

LUCY J MANSFIELD

Original Issue Date

06/03/2002

Effective Date

06/03/2002

Expiration Date

03/31/2004

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

10/20/2005