LACEY R CAVINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221943

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

Last Name

CAVINS

Business Name

LACEY R CAVINS

Original Issue Date

11/13/2013

Effective Date

11/13/2013

Expiration Date

03/31/2014

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/06/2014