STACY ANN ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183923

License Status

NOT RENEWED

Business

First Name

STACY

Middle

ANN

Last Name

ANDERSON

Business Name

STACY ANN ANDERSON

Original Issue Date

04/29/2008

Effective Date

04/29/2008

Expiration Date

03/31/2009

City

GREEN VALLEY

State

Zip

61534

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/06/2009