STACY M CIESLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161581

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

CIESLA

Business Name

STACY M CIESLA

Original Issue Date

06/09/2005

Effective Date

04/04/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013