STACEY L KELLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119530

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

KELLER

Business Name

STACEY L KELLER

Original Issue Date

12/05/1997

Effective Date

12/05/1997

Expiration Date

03/31/2001

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005