KRISTIN LYNNE LUCAS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154634

License Status

INACTIVE

Business

First Name

KRISTIN

Middle

LYNNE

Last Name

LUCAS

Business Name

KRISTIN LYNNE LUCAS

Original Issue Date

05/28/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

01/10/2008