STACI LYNNE SLATER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163570

License Status

NOT RENEWED

Business

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

City

HANOVER PARK

State

Zip

60133

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006