STACIE J STORM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192803

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

STORM

Prefix

Business Name

STACIE J STORM

Original Issue Date

07/02/2009

Effective Date

02/10/2015

Expiration Date

03/31/2016

City

EL PASO

State

Zip

61738

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/17/2026