PATRICIA A STASIAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147511

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

STASIAK

Business Name

PATRICIA A STASIAK

Original Issue Date

03/18/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/02/2008