STACEY L CORY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156669

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

CORY

Business Name

STACEY L CORY

Original Issue Date

08/16/2004

Effective Date

06/13/2011

Expiration Date

03/31/2012

City

MOUNT ZION

State

Zip

62549

County

MACON

Ever Disciplined

LastModifiedDate

05/07/2012