STACEY L HARRELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149121

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

HARRELD

Business Name

STACEY L HARRELD

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

03/31/2005

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005