STACEY PRASAD THOMAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206166

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

PRASAD

Last Name

THOMAS

Business Name

STACEY PRASAD THOMAS

Original Issue Date

08/23/2011

Effective Date

03/04/2016

Expiration Date

03/31/2017

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017