STACI LYNNE SLATER - Pharmacist License in Illinois | # 049163570

STACI LYNNE SLATER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163570

License Status

NOT RENEWED

Business

N

First Name

STACI

Middle

LYNNE

Last Name

SLATER

Business Name

STACI LYNNE SLATER

Original Issue Date

09/06/2005

Effective Date

09/06/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006