BARRY WAYNE LASATER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266461

License Status

NOT RENEWED

Business

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

City

MCLEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

01/08/2021