ALYSSA GRACE STARK - Pharmacist License in Illinois | # 049257976

ALYSSA GRACE STARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257976

License Status

NOT RENEWED

Business

N

First Name

ALYSSA

Middle

GRACE

Last Name

STARK

Business Name

ALYSSA GRACE STARK

Original Issue Date

05/17/2018

Effective Date

05/17/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019