STACEY MICHELLE THACKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136632

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

MICHELLE

Last Name

THACKER

Business Name

STACEY MICHELLE THACKER

Original Issue Date

06/08/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

VINCENNES

State

Zip

47591

County

INDIANA

Ever Disciplined

LastModifiedDate

05/14/2007