STACEY L ROBERTSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131968

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

ROBERTSON

Business Name

STACEY L ROBERTSON

Original Issue Date

08/02/2000

Effective Date

08/02/2000

Expiration Date

03/31/2001

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005