STACEY JANE PAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199807

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

JANE

Last Name

PAN

Business Name

STACEY JANE PAN

Original Issue Date

08/06/2010

Effective Date

02/14/2017

Expiration Date

03/31/2018

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/19/2018