LACY R GREENE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208748

License Status

NOT RENEWED

Business

First Name

LACY

Middle

Last Name

GREENE

Prefix

Business Name

LACY R GREENE

Original Issue Date

01/16/2012

Effective Date

01/16/2012

Expiration Date

03/31/2013

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

05/06/2013