STACY LYNN BAXTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125016

License Status

NOT RENEWED

Business

First Name

STACY

Middle

LYNN

Last Name

BAXTER

Business Name

STACY LYNN BAXTER

Original Issue Date

03/12/1999

Effective Date

04/01/2023

Expiration Date

03/31/2024

City

SOUTH BELOIT

State

Zip

61080

Ever Disciplined

LastModifiedDate

01/03/2025