ISAAC ALEXANDER LASLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205157

License Status

NOT RENEWED

Business

First Name

ISAAC

Middle

ALEXANDER

Last Name

LASLEY

Business Name

ISAAC ALEXANDER LASLEY

Original Issue Date

07/06/2011

Effective Date

07/06/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012