STACEY LESHAWN CARTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152197

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

LESHAWN

Last Name

CARTER

Business Name

STACEY LESHAWN CARTER

Original Issue Date

11/19/2003

Effective Date

11/19/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005