STACY LEE HUMPHREY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164521

License Status

NOT RENEWED

Business

First Name

STACY

Middle

LEE

Last Name

HUMPHREY

Business Name

STACY LEE HUMPHREY

Original Issue Date

08/24/2005

Effective Date

03/16/2010

Expiration Date

03/31/2011

City

POPLAR BLUFF

State

Zip

63901

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/12/2011