STACEY RAE SECRIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246617

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

RAE

Last Name

SECRIST

Business Name

STACEY RAE SECRIST

Original Issue Date

11/28/2016

Effective Date

03/24/2017

Expiration Date

03/31/2018

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

06/19/2018