STACEY MATHEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204680

License Status

NOT RENEWED

Business

First Name

STACEY

Last Name

MATHEW

Business Name

STACEY MATHEW

Original Issue Date

06/08/2011

Effective Date

02/14/2013

Expiration Date

03/31/2014

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2014