STACEY L GARDNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193084

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

GARDNER

Prefix

Business Name

STACEY L GARDNER

Original Issue Date

07/19/2009

Effective Date

01/25/2010

Expiration Date

03/31/2011

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/12/2011