STACEY L FOX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230268

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

FOX

Business Name

STACEY L FOX

Original Issue Date

01/05/2015

Effective Date

01/05/2015

Expiration Date

03/31/2016

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

05/20/2016