STACEY TOBY SIMON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070569

License Status

CANCELLED

Business

First Name

STACEY TOBY

Last Name

SIMON

Business Name

STACEY TOBY SIMON

Original Issue Date

01/12/1979

Effective Date

01/12/1979

Expiration Date

03/31/1982

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005