LACEY D MARTIN - Pharmacist License in Illinois | # 049235959

LACEY D MARTIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235959

License Status

NOT RENEWED

Business

N

First Name

LACEY

Middle

D

Last Name

MARTIN

Prefix

MR

Business Name

LACEY D MARTIN

Original Issue Date

08/31/2015

Effective Date

03/27/2017

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018