STACEY LYNN PARKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159745

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

LYNN

Last Name

PARKS

Business Name

STACEY LYNN PARKS

Original Issue Date

03/29/2005

Effective Date

03/29/2005

Expiration Date

03/31/2006

City

JOHNSTON CITY

State

Zip

62951

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/11/2006