TRAVIS D STUCKY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160151

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

Last Name

STUCKY

Business Name

TRAVIS D STUCKY

Original Issue Date

04/13/2005

Effective Date

04/13/2005

Expiration Date

03/31/2006

City

MARSHALLTOWN

State

Zip

50158

County

IOWA

Ever Disciplined

LastModifiedDate

05/11/2006