DONNA ALICE STACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072940

License Status

NOT RENEWED

Business

First Name

DONNA ALICE

Last Name

STACK

Business Name

DONNA ALICE STACK

Original Issue Date

05/09/1980

Effective Date

05/09/1980

Expiration Date

03/31/1999

City

CENTRALIA

State

Zip

62801

County

CLINTON

Ever Disciplined

LastModifiedDate

10/17/2005