LACENDA LUTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247476

License Status

NOT RENEWED

Business

First Name

LACENDA

Last Name

LUTZ

Business Name

LACENDA LUTZ

Original Issue Date

01/03/2017

Effective Date

03/21/2019

Expiration Date

09/30/2020

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/08/2021