Stacy Lynn Requarth
ExpiredIllinois license 049130304
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049130304
- Status
- Expired (Not Renewed)
- First issued
- March 29, 2000
- Expired
- March 31, 2002
- License holder
- Stacy Lynn Requarth
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/29/2000
Contact
Edwardsville, IL 62025
Madison County