STACEY ERICSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266272

License Status

NOT RENEWED

Business

First Name

STACEY

Last Name

ERICSON

Business Name

STACEY ERICSON

Original Issue Date

06/25/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

MARINE

State

Zip

62061

County

MADISON

Ever Disciplined

LastModifiedDate

07/20/2021