STACIE L WOFFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123966

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

WOFFORD

Business Name

STACIE L WOFFORD

Original Issue Date

12/01/1998

Effective Date

12/01/1998

Expiration Date

03/31/2000

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005