STACEY NICOLE WILLINGHAM-DOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157261

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

NICOLE

Last Name

WILLINGHAM-DOSS

Business Name

STACEY NICOLE WILLINGHAM-DOSS

Original Issue Date

09/30/2004

Effective Date

09/30/2004

Expiration Date

03/31/2005

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005