STACEY E BLAKEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174944

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

BLAKEY

Business Name

STACEY E BLAKEY

Original Issue Date

03/19/2007

Effective Date

10/30/2012

Expiration Date

03/31/2013

City

GLENWOOD

State

Zip

60425

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013