LACY JEAN NIEBRUEGGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262489

License Status

NOT RENEWED

Business

First Name

LACY

Middle

JEAN

Last Name

NIEBRUEGGE

Business Name

LACY JEAN NIEBRUEGGE

Original Issue Date

12/31/2018

Effective Date

12/31/2018

Expiration Date

03/31/2019

City

FREEBURG

State

Zip

62243

Ever Disciplined

LastModifiedDate

07/15/2019