STACEY L CALVERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115215

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

CALVERT

Business Name

STACEY L CALVERT

Original Issue Date

09/09/1996

Effective Date

09/09/1996

Expiration Date

03/31/2002

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

12/06/2005