STACEY R BROWN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200994

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

BROWN

Prefix

Business Name

STACEY R BROWN

Original Issue Date

10/13/2010

Effective Date

04/05/2013

Expiration Date

03/31/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014