STACEY RENEE TERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121625

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

RENEE

Last Name

TERRY

Business Name

STACEY RENEE TERRY

Original Issue Date

06/18/1998

Effective Date

06/18/1998

Expiration Date

03/31/1999

City

HERSCHER

State

Zip

60941

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/17/2005