STACI JEAN GERNENZ - Pharmacist License in Illinois | # 049146770

STACI JEAN GERNENZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146770

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007