STACEY MICHELLE FEDERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143667

License Status

NOT RENEWED

Business

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

City

WHEELING

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012