STACY JO VANGUNTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112340

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

VANGUNTEN

Business Name

STACY JO VANGUNTEN

Original Issue Date

11/07/1995

Effective Date

11/07/1995

Expiration Date

03/31/1998

City

CHILLICOTHE

State

Zip

61523

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005