STACY L SIX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189761

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

SIX

Business Name

STACY L SIX

Original Issue Date

02/20/2009

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

02/16/2012

Case Number

2011000108

Action

Refuse To Renew

Discipline Start Date

02/16/2012

Discipline Reason

after termination by former pharmacy employer for theft of controlled substances and pleading guilty to theft.