STACY ANN PHILPOT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146785

License Status

NOT RENEWED

Business

First Name

STACY

Middle

ANN

Last Name

PHILPOT

Business Name

STACY ANN PHILPOT

Original Issue Date

01/23/2003

Effective Date

01/23/2003

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006