STACEY ATAC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118326

License Status

NOT RENEWED

Business

First Name

STACEY

Last Name

ATAC

Business Name

STACEY ATAC

Original Issue Date

07/30/1997

Effective Date

07/30/1997

Expiration Date

03/31/2006

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2006