STACEY ELLEN BAN - Pharmacist License in Illinois | # 049106776

STACEY ELLEN BAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106776

License Status

NOT RENEWED

Business

N

First Name

STACEY

Middle

ELLEN

Last Name

BAN

Business Name

STACEY ELLEN BAN

Original Issue Date

05/03/1994

Effective Date

05/03/1994

Expiration Date

03/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005