STACEY RENEE GILES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149605

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

RENEE

Last Name

GILES

Business Name

STACEY RENEE GILES

Original Issue Date

07/25/2003

Effective Date

07/25/2003

Expiration Date

03/31/2006

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/11/2006