STACEY J CAMP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106441

License Status

NOT RENEWED

Business

First Name

STACEY J

Last Name

CAMP

Business Name

STACEY J CAMP

Original Issue Date

04/01/1994

Effective Date

04/01/1994

Expiration Date

03/31/1997

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005