STACIE M STAHL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137671

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

STAHL

Business Name

STACIE M STAHL

Original Issue Date

08/09/2001

Effective Date

03/10/2006

Expiration Date

03/31/2007

City

MESA

State

Zip

85205

County

ARIZONA

Ever Disciplined

LastModifiedDate

05/14/2007