STACI S BOONE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122110

License Status

NOT RENEWED

Business

First Name

STACI

Middle

Last Name

BOONE

Business Name

STACI S BOONE

Original Issue Date

07/28/1998

Effective Date

07/28/1998

Expiration Date

03/31/2003

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005