STACEY J PARKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156912

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

PARKER

Business Name

STACEY J PARKER

Original Issue Date

08/26/2004

Effective Date

03/14/2011

Expiration Date

03/31/2012

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/07/2012