LUCAS WADE ROBERTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049273295

License Status

NOT RENEWED

Business

First Name

LUCAS

Middle

WADE

Last Name

ROBERTS

Business Name

LUCAS WADE ROBERTS

Original Issue Date

05/15/2020

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

EWING

State

Zip

62836

County

FRANKLIN

Ever Disciplined

LastModifiedDate

07/27/2022