STACEY ADELL COLEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145481

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

ADELL

Last Name

COLEMAN

Business Name

STACEY ADELL COLEMAN

Original Issue Date

10/24/2002

Effective Date

10/24/2002

Expiration Date

03/31/2004

City

SAUK VILLAGE

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005