CLARISSA ANN STALEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107137

License Status

NOT RENEWED

Business

First Name

CLARISSA

Middle

ANN

Last Name

STALEY

Business Name

CLARISSA ANN STALEY

Original Issue Date

06/13/1994

Effective Date

06/13/1994

Expiration Date

03/31/1996

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005