LONNIE THACH MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227204

License Status

NOT RENEWED

Business

Title

First Name

LONNIE

Last Name

THACH

Prefix

Business Name

LONNIE THACH MD

Original Issue Date

08/17/2014

Effective Date

02/29/2016

Expiration Date

03/31/2017

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/10/2017