STACY LYNN VANDYKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271944

License Status

NOT RENEWED

Business

First Name

STACY

Middle

LYNN

Last Name

VANDYKE

Business Name

STACY LYNN VANDYKE

Original Issue Date

03/25/2020

Effective Date

03/25/2020

Expiration Date

03/31/2021

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/20/2021