LACEY D RENDLEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241723

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

Last Name

RENDLEMAN

Prefix

Business Name

LACEY D RENDLEMAN

Original Issue Date

05/06/2016

Effective Date

05/06/2016

Expiration Date

03/31/2017

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/10/2017