STACY ANNE BARTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138732

License Status

NOT RENEWED

Business

First Name

STACY

Middle

ANNE

Last Name

BARTON

Business Name

STACY ANNE BARTON

Original Issue Date

10/17/2001

Effective Date

10/17/2001

Expiration Date

03/31/2002

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/06/2005