STACEY S FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197114

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

FORD

Business Name

STACEY S FORD

Original Issue Date

03/03/2010

Effective Date

03/03/2010

Expiration Date

03/31/2011

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011