STACY J COTTOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107858

License Status

NOT RENEWED

Business

First Name

STACY J

Last Name

COTTOM

Business Name

STACY J COTTOM

Original Issue Date

08/19/1994

Effective Date

08/19/1994

Expiration Date

03/31/1995

City

AVA

State

Zip

62907

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005