STACIE D WATTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198290

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

WATTS

Prefix

Business Name

STACIE D WATTS

Original Issue Date

05/10/2010

Effective Date

05/10/2010

Expiration Date

03/31/2011

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

05/12/2011