STACEY B LUCKIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202739

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

LUCKIE

Prefix

Business Name

STACEY B LUCKIE

Original Issue Date

02/15/2011

Effective Date

02/15/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012