STACI L LOWERY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145973

License Status

NOT RENEWED

Business

First Name

STACI

Middle

Last Name

LOWERY

Business Name

STACI L LOWERY

Original Issue Date

11/20/2002

Effective Date

11/20/2002

Expiration Date

03/31/2004

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

10/20/2005