STACY A VANDERSAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102236

License Status

NOT RENEWED

Business

First Name

STACY A

Last Name

VANDERSAND

Business Name

STACY A VANDERSAND

Original Issue Date

01/23/1993

Effective Date

01/23/1993

Expiration Date

03/31/1997

City

WHITE HALL

State

Zip

62092

County

GREENE

Ever Disciplined

LastModifiedDate

10/17/2005