STACEY LYNN LITTLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144513

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

LYNN

Last Name

LITTLE

Business Name

STACEY LYNN LITTLE

Original Issue Date

09/05/2002

Effective Date

09/05/2002

Expiration Date

03/31/2003

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/20/2005