STACY L ROGERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178529

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

ROGERS

Business Name

STACY L ROGERS

Original Issue Date

08/17/2007

Effective Date

01/14/2020

Expiration Date

03/31/2021

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021