STACEY M PING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095166

License Status

NOT RENEWED

Business

First Name

STACEY M

Last Name

PING

Business Name

STACEY M PING

Original Issue Date

12/08/1990

Effective Date

12/08/1990

Expiration Date

03/31/1991

City

NEWTON

State

Zip

62448

Ever Disciplined

LastModifiedDate

10/17/2005