SAMANTHA LEE LACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249730

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

LEE

Last Name

LACY

Business Name

SAMANTHA LEE LACY

Original Issue Date

04/07/2017

Effective Date

04/07/2017

Expiration Date

03/31/2018

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

06/19/2018