STACEY KAY JANSSEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158918

License Status

INACTIVE

Business

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

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

01/06/2009