STACEY A SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179962

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

SMITH

Business Name

STACEY A SMITH

Original Issue Date

10/16/2007

Effective Date

02/16/2016

Expiration Date

03/31/2017

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017