STACEY L DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156341

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

DAVIS

Business Name

STACEY L DAVIS

Original Issue Date

07/29/2004

Effective Date

07/29/2004

Expiration Date

03/31/2005

City

LYNWOOD

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005