STACIE M LANGENDORF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110757

License Status

NOT RENEWED

Business

First Name

STACIE M

Last Name

LANGENDORF

Business Name

STACIE M LANGENDORF

Original Issue Date

06/06/1995

Effective Date

06/06/1995

Expiration Date

03/31/1997

City

POTOMAC

State

Zip

61865

County

VERMILION

Ever Disciplined

LastModifiedDate

10/17/2005