STACEY L LONGUST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091664

License Status

NOT RENEWED

Business

First Name

STACEY L

Last Name

LONGUST

Business Name

STACEY L LONGUST

Original Issue Date

11/22/1989

Effective Date

11/22/1989

Expiration Date

03/31/1993

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005