BRUCE ALAN STACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031915

License Status

NOT RENEWED

Business

First Name

BRUCE ALAN

Last Name

STACY

Business Name

BRUCE ALAN STACY

Original Issue Date

11/21/1977

Effective Date

02/18/2020

Expiration Date

07/31/2022

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/14/2022