LACEY R HERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171944

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

Last Name

HERMAN

Business Name

LACEY R HERMAN

Original Issue Date

10/17/2006

Effective Date

10/17/2006

Expiration Date

03/31/2007

City

FARMINGTON

State

Zip

63640

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/14/2007