STACEY A BLOCK - Pharmacist License in Illinois | # 049114682

STACEY A BLOCK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114682

License Status

NOT RENEWED

Business

N

First Name

STACEY

Middle

A

Last Name

BLOCK

Business Name

STACEY A BLOCK

Original Issue Date

07/23/1996

Effective Date

07/23/1996

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005