STACEY LYNN BEARDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119948

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

LYNN

Last Name

BEARDEN

Business Name

STACEY LYNN BEARDEN

Original Issue Date

01/27/1998

Effective Date

04/06/2009

Expiration Date

03/31/2010

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/04/2010