STACY B ANDERSON - Pharmacist License in Illinois | # 049170188

STACY B ANDERSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170188

License Status

NOT RENEWED

Business

N

First Name

STACY

Middle

B

Last Name

ANDERSON

Business Name

STACY B ANDERSON

Original Issue Date

07/24/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008