STACEY JAYNE BABCOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207770

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

JAYNE

Last Name

BABCOCK

Business Name

STACEY JAYNE BABCOCK

Original Issue Date

11/14/2011

Effective Date

02/18/2015

Expiration Date

03/31/2016

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/20/2016