STACY SHIFFLETT SHORD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288444

License Status

INACTIVE

Business

First Name

STACY

Middle

SHIFFLETT

Last Name

SHORD

Business Name

STACY SHIFFLETT SHORD

Original Issue Date

08/23/2001

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

LAUREL

State

Zip

20723

County

MARYLAND

Ever Disciplined

LastModifiedDate

01/05/2010