LUCAS NATHANIEL LUPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260347

License Status

NOT RENEWED

Business

First Name

LUCAS

Middle

NATHANIEL

Last Name

LUPER

Business Name

LUCAS NATHANIEL LUPER

Original Issue Date

10/03/2018

Effective Date

10/03/2018

Expiration Date

03/31/2019

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

07/15/2019