STACY LEE TEDRICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131384

License Status

NOT RENEWED

Business

First Name

STACY

Middle

LEE

Last Name

TEDRICK

Business Name

STACY LEE TEDRICK

Original Issue Date

06/28/2000

Effective Date

06/28/2000

Expiration Date

03/31/2002

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

12/06/2005