STACEY L REID Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108146

License Status

NOT RENEWED

Business

First Name

STACEY L

Last Name

REID

Business Name

STACEY L REID

Original Issue Date

09/15/1994

Effective Date

09/15/1994

Expiration Date

03/31/1997

City

COAL VALLEY

State

Zip

61240

Ever Disciplined

LastModifiedDate

10/17/2005