STACEY MUDD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036574

License Status

NOT RENEWED

Business

First Name

STACEY

Last Name

MUDD

Business Name

STACEY MUDD

Original Issue Date

05/15/1987

Effective Date

03/18/2020

Expiration Date

07/31/2022

City

HANNIBAL

State

Zip

63401

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2022