TAMMY E STACEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142906

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

Last Name

STACEY

Business Name

TAMMY E STACEY

Original Issue Date

06/03/2002

Effective Date

06/03/2002

Expiration Date

03/31/2003

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005