STACI JO AN BUMGARNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147667

License Status

NOT RENEWED

Business

First Name

STACI

Middle

JO AN

Last Name

BUMGARNER

Business Name

STACI JO AN BUMGARNER

Original Issue Date

03/28/2003

Effective Date

02/14/2014

Expiration Date

03/31/2015

City

GENOA

State

Zip

60135

County

DEKALB

Ever Disciplined

LastModifiedDate

05/11/2015