LACEY JEAN ROKITA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207296

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

JEAN

Last Name

ROKITA

Business Name

LACEY JEAN ROKITA

Original Issue Date

10/14/2011

Effective Date

03/24/2017

Expiration Date

03/31/2018

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

06/19/2018