LACY MARIE SIMONS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158221

License Status

NOT RENEWED

Business

First Name

LACY

Middle

MARIE

Last Name

SIMONS

Business Name

LACY MARIE SIMONS

Original Issue Date

12/08/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008