STACEY R DUST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173200

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

DUST

Business Name

STACEY R DUST

Original Issue Date

12/14/2006

Effective Date

02/15/2013

Expiration Date

03/31/2014

City

PANA

State

Zip

62557

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/06/2014