STACEY J BENNETT Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051287101

License Status

INACTIVE

Business

First Name

STACEY

Middle

Last Name

BENNETT

Business Name

STACEY J BENNETT

Original Issue Date

05/14/1999

Effective Date

03/16/2020

Expiration Date

07/31/2022

City

ROCKWALL

State

Zip

75087

Ever Disciplined

LastModifiedDate

02/25/2022