STACEY ANN CHARLES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164430

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

ANN

Last Name

CHARLES

Business Name

STACEY ANN CHARLES

Original Issue Date

10/07/2005

Effective Date

02/25/2009

Expiration Date

03/31/2010

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010