KELLI J STACEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118185

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

Last Name

STACEY

Business Name

KELLI J STACEY

Original Issue Date

07/18/1997

Effective Date

07/18/1997

Expiration Date

03/31/1999

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005