KORI M LACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231895

License Status

NOT RENEWED

Business

First Name

KORI

Middle

Last Name

LACY

Business Name

KORI M LACY

Original Issue Date

03/23/2015

Effective Date

03/30/2016

Expiration Date

03/31/2017

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/10/2017