STACIE A KOURETAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161332

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

KOURETAS

Business Name

STACIE A KOURETAS

Original Issue Date

05/25/2005

Effective Date

02/16/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013