STACY M MULLINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099111

License Status

NOT RENEWED

Business

First Name

STACY M

Last Name

MULLINS

Business Name

STACY M MULLINS

Original Issue Date

01/16/1992

Effective Date

01/16/1992

Expiration Date

03/31/1993

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005