STACIE LYN GOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170761

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

LYN

Last Name

GOOD

Business Name

STACIE LYN GOOD

Original Issue Date

08/23/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009