STEPHEN KEITH DELACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196064

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

KEITH

Last Name

DELACY

Business Name

STEPHEN KEITH DELACY

Original Issue Date

01/05/2010

Effective Date

01/05/2010

Expiration Date

03/31/2011

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/12/2011