ANNETTE M STARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104652

License Status

NOT RENEWED

Business

First Name

ANNETTE M

Last Name

STARK

Business Name

ANNETTE M STARK

Original Issue Date

09/28/1993

Effective Date

09/28/1993

Expiration Date

03/31/1995

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005