LACOSTA G MCCLINTOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239029

License Status

NOT RENEWED

Business

First Name

LACOSTA

Middle

Last Name

MCCLINTOCK

Business Name

LACOSTA G MCCLINTOCK

Original Issue Date

01/21/2016

Effective Date

01/21/2016

Expiration Date

03/31/2017

City

CREAL SPRINGS

State

Zip

62922

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/10/2017