STACEY L KLUG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237075

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

KLUG

Business Name

STACEY L KLUG

Original Issue Date

10/19/2015

Effective Date

03/29/2017

Expiration Date

03/31/2018

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/19/2018