LACEY J. ELLEN COTNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255493

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

J. ELLEN

Last Name

COTNER

Business Name

LACEY J. ELLEN COTNER

Original Issue Date

01/12/2018

Effective Date

01/12/2018

Expiration Date

03/31/2019

City

HEYWORTH

State

Zip

61745

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/15/2019