STACY A VANDERSAND Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040892

License Status

INACTIVE

Business

First Name

STACY A

Last Name

VANDERSAND

Business Name

STACY A VANDERSAND

Original Issue Date

08/21/1996

Effective Date

01/13/2024

Expiration Date

03/31/2026

City

CARROLLTON

State

Zip

62016

County

GREENE

Ever Disciplined

LastModifiedDate

02/01/2026