STACEY L HENRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214801

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

HENRY

Business Name

STACEY L HENRY

Original Issue Date

11/29/2012

Effective Date

01/17/2013

Expiration Date

03/31/2014

City

EAST CARONDELET

State

Zip

62240

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/06/2014