STACEY MARIE MORAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119756

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

MARIE

Last Name

MORAN

Business Name

STACEY MARIE MORAN

Original Issue Date

01/07/1998

Effective Date

01/07/1998

Expiration Date

03/31/1999

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005