LACEY NICOLE TRAVIOLI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049295793

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

NICOLE

Last Name

TRAVIOLI

Business Name

LACEY NICOLE TRAVIOLI

Original Issue Date

09/12/2022

Effective Date

03/03/2023

Expiration Date

03/31/2024

City

PARIS

State

Zip

61944

County

EDGAR

Ever Disciplined

LastModifiedDate

01/03/2025