LACEY LANTZ-JOHNSTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260793

License Status

NOT RENEWED

Business

First Name

LACEY

Last Name

LANTZ-JOHNSTON

Business Name

LACEY LANTZ-JOHNSTON

Original Issue Date

10/17/2018

Effective Date

10/17/2018

Expiration Date

03/31/2019

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

07/15/2019