LILY GRACE MORTHLAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247079

License Status

NOT RENEWED

Business

First Name

LILY

Middle

GRACE

Last Name

MORTHLAND

Business Name

LILY GRACE MORTHLAND

Original Issue Date

12/13/2016

Effective Date

02/16/2021

Expiration Date

05/31/2022

City

MAROA

State

Zip

61756

County

MACON

Ever Disciplined

LastModifiedDate

07/27/2022