STACI L HOMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119145

License Status

NOT RENEWED

Business

First Name

STACI

Middle

Last Name

HOMAN

Business Name

STACI L HOMAN

Original Issue Date

10/23/1997

Effective Date

10/23/1997

Expiration Date

03/31/2001

City

WEST SALEM

State

Zip

62476

County

EDWARDS

Ever Disciplined

LastModifiedDate

10/21/2005