STACY SUE HOLT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114674

License Status

NOT RENEWED

Business

First Name

STACY SUE

Last Name

HOLT

Business Name

STACY SUE HOLT

Original Issue Date

07/22/1996

Effective Date

07/22/1996

Expiration Date

03/31/1999

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005