CARRIE SUE STACEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067118

License Status

NOT RENEWED

Business

First Name

CARRIE SUE

Last Name

STACEY

Business Name

CARRIE SUE STACEY

Original Issue Date

04/15/1977

Effective Date

04/15/1977

Expiration Date

03/31/1984

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005