WILSON T LACEY Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051019767

License Status

INACTIVE

Business

First Name

WILSON T

Last Name

LACEY

Business Name

WILSON T LACEY

Original Issue Date

01/01/1997

Expiration Date

03/31/1994

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005