LACEY D GAZDIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211696

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

Last Name

GAZDIK

Business Name

LACEY D GAZDIK

Original Issue Date

06/14/2012

Effective Date

06/14/2012

Expiration Date

03/31/2013

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/06/2013