STACI R EVENSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198236

License Status

NOT RENEWED

Business

First Name

STACI

Middle

Last Name

EVENSON

Business Name

STACI R EVENSON

Original Issue Date

05/06/2010

Effective Date

05/06/2010

Expiration Date

03/31/2011

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2011