STACEY SIMON LEVEQUE - Pharmacist License in Illinois | # 051033949

STACEY SIMON LEVEQUE

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033949

License Status

INACTIVE

Business

N

First Name

STACEY

Middle

SIMON

Last Name

LEVEQUE

Business Name

STACEY SIMON LEVEQUE

Original Issue Date

07/30/1981

Effective Date

09/02/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

01/05/2010