STACY STEVENSON DECOSTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126270

License Status

NOT RENEWED

Business

First Name

STACY

Middle

STEVENSON

Last Name

DECOSTER

Business Name

STACY STEVENSON DECOSTER

Original Issue Date

06/11/1999

Effective Date

06/11/1999

Expiration Date

03/31/2004

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005