STACY B ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170188

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

ANDERSON

Business Name

STACY B ANDERSON

Original Issue Date

07/24/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

05/02/2008