STACY M FOREAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098297

License Status

NOT RENEWED

Business

First Name

STACY M

Last Name

FOREAKER

Business Name

STACY M FOREAKER

Original Issue Date

10/07/1991

Effective Date

10/07/1991

Expiration Date

03/31/1993

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

10/17/2005