CONNIE L STACKHOUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051037191

License Status

NOT RENEWED

Business

First Name

CONNIE L

Last Name

STACKHOUSE

Business Name

CONNIE L STACKHOUSE

Original Issue Date

10/18/1988

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

LAKE CHARLES

State

Zip

70605

Ever Disciplined

LastModifiedDate

05/02/2008