STACEY ATAC - Pharmacist License in Illinois | # 049118326

STACEY ATAC

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118326

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006