STACIE R PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093084

License Status

NOT RENEWED

Business

First Name

STACIE R

Last Name

PAYNE

Business Name

STACIE R PAYNE

Original Issue Date

05/12/1990

Effective Date

05/12/1990

Expiration Date

03/31/1995

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/17/2005