MICHELLE DEJAMEER RENEA LACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282164

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

DEJAMEER RENEA

Last Name

LACY

Business Name

MICHELLE DEJAMEER RENEA LACY

Original Issue Date

05/10/2021

Effective Date

05/10/2021

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2022