STACY A MOON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116602

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

MOON

Business Name

STACY A MOON

Original Issue Date

02/28/1997

Effective Date

02/28/1997

Expiration Date

03/31/2005

City

ARLINGTON HGTS.

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005