STACEY MICHELLE FEDERMAN - Pharmacist License in Illinois | # 049143667

STACEY MICHELLE FEDERMAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143667

License Status

NOT RENEWED

Business

N

First Name

STACEY

Middle

MICHELLE

Last Name

FEDERMAN

Business Name

STACEY MICHELLE FEDERMAN

Original Issue Date

07/15/2002

Effective Date

02/18/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012