STACEY LYNN WEISS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146246

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

LYNN

Last Name

WEISS

Business Name

STACEY LYNN WEISS

Original Issue Date

12/06/2002

Effective Date

12/06/2002

Expiration Date

03/31/2004

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005