KATHLEEN L STANLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163163

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

STANLEY

Business Name

KATHLEEN L STANLEY

Original Issue Date

08/23/2005

Effective Date

01/15/2009

Expiration Date

03/31/2010

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010