STACIE A BROWN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116441

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

BROWN

Business Name

STACIE A BROWN

Original Issue Date

01/31/1997

Effective Date

01/31/1997

Expiration Date

03/31/2005

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005