JERRY R LACY - Pharmacist License in Illinois | # 049174433

JERRY R LACY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174433

License Status

NOT RENEWED

Business

N

First Name

JERRY

Middle

R

Last Name

LACY

Business Name

JERRY R LACY

Original Issue Date

02/23/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009