LUCAS MICHAEL WESTERN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282714

License Status

NOT RENEWED

Business

First Name

LUCAS

Middle

MICHAEL

Last Name

WESTERN

Business Name

LUCAS MICHAEL WESTERN

Original Issue Date

05/29/2021

Effective Date

05/29/2021

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2022