DEBRA ANN STAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078408

License Status

NOT RENEWED

Business

First Name

DEBRA ANN

Last Name

STAKE

Business Name

DEBRA ANN STAKE

Original Issue Date

06/03/1983

Effective Date

03/02/2017

Expiration Date

03/31/2018

City

CREVE COEUR

State

Zip

61610

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/19/2018