JEFFREY ROBERT STACEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148835

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

ROBERT

Last Name

STACEY

Business Name

JEFFREY ROBERT STACEY

Original Issue Date

06/12/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

NAPERVILLE

State

Zip

60565

Ever Disciplined

LastModifiedDate

05/02/2008