STACEY R BUBAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092690

License Status

NOT RENEWED

Business

First Name

STACEY R

Last Name

BUBAN

Business Name

STACEY R BUBAN

Original Issue Date

03/31/1990

Effective Date

03/31/1990

Expiration Date

03/31/1992

City

NEW WINDSOR

State

Zip

61465

County

HENRY

Ever Disciplined

LastModifiedDate

10/17/2005