LACI N BURGESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223298

License Status

NOT RENEWED

Business

First Name

LACI

Middle

Last Name

BURGESS

Prefix

Business Name

LACI N BURGESS

Original Issue Date

02/07/2014

Effective Date

03/15/2017

Expiration Date

03/31/2018

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/19/2018