STACIE ERIN HAAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124558

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

ERIN

Last Name

HAAS

Business Name

STACIE ERIN HAAS

Original Issue Date

01/27/1999

Effective Date

01/27/1999

Expiration Date

03/31/2006

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

05/11/2006