License holder summary

NYSTROM STACIE R is a Pharmacy Technician licensed to practice in California. The address on file for NYSTROM STACIE R is 924-U ELGIN ST SAN LORENZO CA 94580. This pharmacist license is not current. The license was granted 06/05/1998 and expired on 04/30/2000.

Department of Consumer Affairs

Board of Pharmacy

NYSTROM STACIE R
Pharmacy Technician
License number
25971
Date granted
06/05/1998
Date expires
04/30/2000
Class
Pharmacy Technician
Status
Canceled
Address
924-U ELGIN ST SAN LORENZO CA 94580
californiapharmacists.org
ID 11999779
LAST UPDATED 2024-05-13 17:33:15 UTC

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