LACY JO DENNISON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185637

License Status

NOT RENEWED

Business

First Name

LACY

Middle

Last Name

DENNISON

Business Name

LACY JO DENNISON

Original Issue Date

07/21/2008

Effective Date

07/21/2008

Expiration Date

03/31/2009

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/06/2009