ANDREA LYNN STALEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193366

License Status

NOT RENEWED

Business

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

City

PLANO

State

Zip

60545

County

KENDALL

Ever Disciplined

LastModifiedDate

05/07/2012