BARRY WAYNE LASATER - Pharmacist License in Illinois | # 049266461

BARRY WAYNE LASATER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266461

License Status

NOT RENEWED

Business

N

First Name

BARRY

Middle

WAYNE

Last Name

LASATER

Business Name

BARRY WAYNE LASATER

Original Issue Date

07/05/2019

Effective Date

07/05/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021