STACIE L SHIPMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171821

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

SHIPMA

Business Name

STACIE L SHIPMA

Original Issue Date

10/05/2006

Effective Date

01/29/2019

Expiration Date

09/30/2020

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

01/08/2021