ANDREA NICOLE STARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132138

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

NICOLE

Last Name

STARK

Business Name

ANDREA NICOLE STARK

Original Issue Date

08/14/2000

Effective Date

05/01/2014

Expiration Date

03/31/2015

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2015