STACEY R GOVEDNIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107750

License Status

NOT RENEWED

Business

First Name

STACEY R

Last Name

GOVEDNIK

Business Name

STACEY R GOVEDNIK

Original Issue Date

08/05/1994

Effective Date

03/06/2018

Expiration Date

03/31/2019

City

DELAVAN

State

Zip

61734

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/15/2019