LARRY W STACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074795

License Status

NOT RENEWED

Business

First Name

LARRY W

Last Name

STACK

Business Name

LARRY W STACK

Original Issue Date

06/24/1981

Effective Date

06/24/1981

Expiration Date

03/31/1988

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005