STACIE G ROBERTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193734

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

ROBERTS

Business Name

STACIE G ROBERTS

Original Issue Date

08/19/2009

Effective Date

08/19/2009

Expiration Date

03/31/2010

City

URBANA

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010