REGINA E LACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201119

License Status

NOT RENEWED

Business

First Name

REGINA

Middle

Last Name

LACY

Business Name

REGINA E LACY

Original Issue Date

10/19/2010

Effective Date

03/08/2011

Expiration Date

03/31/2012

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/07/2012