STACEY MICHELLE KRUEGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246822

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

MICHELLE

Last Name

KRUEGER

Business Name

STACEY MICHELLE KRUEGER

Original Issue Date

12/02/2016

Effective Date

01/14/2020

Expiration Date

03/31/2021

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

07/20/2021