LACEY D MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235959

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

Last Name

MARTIN

Prefix

Business Name

LACEY D MARTIN

Original Issue Date

08/31/2015

Effective Date

03/27/2017

Expiration Date

03/31/2018

City

MC LEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

06/19/2018