JERRY R LACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174433

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

Last Name

LACY

Business Name

JERRY R LACY

Original Issue Date

02/23/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009