LILLY LORENZA PICKETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239963

License Status

NOT RENEWED

Business

First Name

LILLY

Middle

LORENZA

Last Name

PICKETT

Business Name

LILLY LORENZA PICKETT

Original Issue Date

03/07/2016

Effective Date

03/07/2016

Expiration Date

03/31/2017

City

MOUNT PULASKI

State

Zip

62548

County

LOGAN

Ever Disciplined

LastModifiedDate

05/10/2017