STACEY LEE CANNON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139588

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

LEE

Last Name

CANNON

Business Name

STACEY LEE CANNON

Original Issue Date

12/13/2001

Effective Date

12/13/2001

Expiration Date

03/31/2003

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005