SEAN B STACEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168750

License Status

NOT RENEWED

Business

First Name

SEAN

Middle

Last Name

STACEY

Business Name

SEAN B STACEY

Original Issue Date

05/18/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008