CHARLES S STACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115813

License Status

NOT RENEWED

Business

First Name

CHARLES S

Last Name

STACY

Business Name

CHARLES S STACY

Original Issue Date

11/02/1996

Effective Date

11/02/1996

Expiration Date

03/31/1998

City

SHAWNEETOWN

State

Zip

62984

County

GALLATIN

Ever Disciplined

LastModifiedDate

10/17/2005