STACIE L WADE - Pharmacist License in Illinois | # 049112499

STACIE L WADE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112499

License Status

NOT RENEWED

Business

N

First Name

STACIE L

Last Name

WADE

Business Name

STACIE L WADE

Original Issue Date

11/17/1995

Effective Date

11/17/1995

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005