STACI JEAN GERNENZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146770

License Status

NOT RENEWED

Business

First Name

STACI

Middle

JEAN

Last Name

GERNENZ

Business Name

STACI JEAN GERNENZ

Original Issue Date

01/23/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007