STACEY L CHOAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094303

License Status

NOT RENEWED

Business

First Name

STACEY L

Last Name

CHOAT

Business Name

STACEY L CHOAT

Original Issue Date

08/31/1990

Effective Date

08/31/1990

Expiration Date

03/31/1996

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005