LORA L LACKEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160247

License Status

NOT RENEWED

Business

First Name

LORA

Middle

Last Name

LACKEY

Business Name

LORA L LACKEY

Original Issue Date

04/15/2005

Effective Date

04/15/2005

Expiration Date

03/31/2006

City

ROSSVILLE

State

Zip

60963

County

VERMILION

Ever Disciplined

LastModifiedDate

05/11/2006