STACEY F GRAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135743

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

GRAY

Business Name

STACEY F GRAY

Original Issue Date

04/10/2001

Effective Date

04/10/2001

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005