STACY LAINE WARE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144871

License Status

NOT RENEWED

Business

First Name

STACY

Middle

LAINE

Last Name

WARE

Business Name

STACY LAINE WARE

Original Issue Date

09/26/2002

Effective Date

09/26/2002

Expiration Date

03/31/2005

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005