LACEY J COPPLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187201

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

Last Name

COPPLE

Business Name

LACEY J COPPLE

Original Issue Date

09/22/2008

Effective Date

03/02/2011

Expiration Date

03/31/2012

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/07/2012