STACIE ALINE HOLLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195712

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

ALINE

Last Name

HOLLIS

Business Name

STACIE ALINE HOLLIS

Original Issue Date

12/07/2009

Effective Date

03/16/2010

Expiration Date

03/31/2011

City

COAL CITY

State

Zip

60416

County

GRUNDY

Ever Disciplined

LastModifiedDate

05/12/2011