STACEY A RANSOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145143

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

RANSOM

Business Name

STACEY A RANSOM

Original Issue Date

10/08/2002

Effective Date

10/08/2002

Expiration Date

03/31/2003

City

WAUKEGAN

State

Zip

60079

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005