LAKE OF DECATUR INC Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054015385

License Status

ACTIVE

Business

Business Name

LAKE OF DECATUR INC

Original Issue Date

10/01/2004

Effective Date

03/23/2026

Expiration Date

03/31/2028

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

03/23/2026