STACIE LYNN GORDON - Pharmacist License in Illinois | # 049134063

STACIE LYNN GORDON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134063

License Status

NOT RENEWED

Business

N

First Name

STACIE

Middle

LYNN

Last Name

GORDON

Business Name

STACIE LYNN GORDON

Original Issue Date

12/13/2000

Effective Date

12/13/2000

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005