STACY RENEE COLEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118527

License Status

NOT RENEWED

Business

First Name

STACY

Middle

RENEE

Last Name

COLEMAN

Business Name

STACY RENEE COLEMAN

Original Issue Date

08/14/1997

Effective Date

08/14/1997

Expiration Date

03/31/1998

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005