STACY KOPEJTKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242872

License Status

NOT RENEWED

Business

First Name

STACY

Last Name

KOPEJTKA

Business Name

STACY KOPEJTKA

Original Issue Date

06/30/2016

Effective Date

05/07/2019

Expiration Date

09/30/2020

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

01/08/2021