STACY L MOELLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099609

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

MOELLER

Business Name

STACY L MOELLER

Original Issue Date

03/06/1992

Effective Date

03/23/2021

Expiration Date

05/31/2022

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

07/27/2022