STACEY LAINE MOWERS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125187

License Status

INACTIVE

Business

First Name

STACEY

Middle

LAINE

Last Name

MOWERS

Business Name

STACEY LAINE MOWERS

Original Issue Date

03/29/1999

Effective Date

02/23/2009

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/12/2010