EDDIE L LACEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201959

License Status

NOT RENEWED

Business

First Name

EDDIE

Middle

Last Name

LACEY

Prefix

Business Name

EDDIE L LACEY

Original Issue Date

12/15/2010

Effective Date

03/14/2011

Expiration Date

03/31/2012

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/07/2012