CRYSTAL DEE STACEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145997

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

DEE

Last Name

STACEY

Business Name

CRYSTAL DEE STACEY

Original Issue Date

11/21/2002

Effective Date

11/21/2002

Expiration Date

03/31/2006

City

ZEIGLER

State

Zip

62999

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/11/2006