STACI DEEDRICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124452

License Status

NOT RENEWED

Business

First Name

STACI

Last Name

DEEDRICK

Business Name

STACI DEEDRICK

Original Issue Date

01/15/1999

Effective Date

01/15/1999

Expiration Date

03/31/2000

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005