STACEY A HENDRIX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130417

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

HENDRIX

Business Name

STACEY A HENDRIX

Original Issue Date

04/05/2000

Effective Date

04/05/2000

Expiration Date

03/31/2005

City

HERSCHER

State

Zip

60941

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/20/2005