STACIE R PAYNE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051039876

License Status

ACTIVE

Business

First Name

STACIE R

Last Name

PAYNE

Business Name

STACIE R PAYNE

Original Issue Date

08/25/1994

Effective Date

03/04/2026

Expiration Date

03/31/2028

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

03/04/2026