ANDREA LYNN STALEY - Pharmacist License in Illinois | # 049193366

ANDREA LYNN STALEY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193366

License Status

NOT RENEWED

Business

N

First Name

ANDREA

Middle

LYNN

Last Name

STALEY

Business Name

ANDREA LYNN STALEY

Original Issue Date

08/03/2009

Effective Date

01/27/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012