STACY LEE HUMPHREY - Pharmacist License in Missouri | # 049164521

STACY LEE HUMPHREY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164521

License Status

NOT RENEWED

Business

N

First Name

STACY

Middle

LEE

Last Name

HUMPHREY

Business Name

STACY LEE HUMPHREY

Original Issue Date

08/24/2005

Effective Date

03/16/2010

Expiration Date

03/31/2011

State

MO

Ever Disciplined

N

LastModifiedDate

05/12/2011