STACEY B GALANIS DDS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199064

License Status

INACTIVE

Business

First Name

STACEY

Middle

Last Name

GALANIS

Suffix

DDS

Business Name

STACEY B GALANIS DDS

Original Issue Date

06/23/2010

Effective Date

01/18/2011

Expiration Date

03/31/2012

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

02/02/2015

Case Number

2014005450

Action

Refuse To Renew

Discipline Start Date

01/22/2015

Discipline Reason

after respondent was excluded from participation in all Federal Health care programs defined in Section 128B(f) of the Social Security Act.