JADEYN LACEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188897

License Status

NOT RENEWED

Business

First Name

JADEYN

Last Name

LACEY

Prefix

Business Name

JADEYN LACEY

Original Issue Date

12/25/2008

Effective Date

03/09/2009

Expiration Date

03/31/2010

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/04/2010