STACEY ANNE DE WITT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151136

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

ANNE

Last Name

DE WITT

Business Name

STACEY ANNE DE WITT

Original Issue Date

09/30/2003

Effective Date

03/11/2019

Expiration Date

09/30/2020

City

FIELDON

State

Zip

62031

County

JERSEY

Ever Disciplined

LastModifiedDate

01/08/2021