STACEY ANN KERSHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134966

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

ANN

Last Name

KERSHAW

Business Name

STACEY ANN KERSHAW

Original Issue Date

03/07/2001

Effective Date

03/07/2001

Expiration Date

03/31/2004

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

10/20/2005