STACEY KAY JANSSEN - Pharmacist License in Illinois | # 049158918

STACEY KAY JANSSEN

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158918

License Status

INACTIVE

Business

N

First Name

STACEY

Middle

KAY

Last Name

JANSSEN

Business Name

STACEY KAY JANSSEN

Original Issue Date

01/20/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

01/06/2009