STACIE A CARR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133278

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

CARR

Business Name

STACIE A CARR

Original Issue Date

10/19/2000

Effective Date

10/19/2000

Expiration Date

03/31/2003

City

SAUK VILLAGE

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005