STACIE LYNN GORDON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134063

License Status

NOT RENEWED

Business

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

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

10/20/2005