Utah
Division of Occupational and Professional Licensing
STACEY KRISTEN BOUDREAUX
Pharmacy - Pharmacist
License number
264035-1701
Date granted
11/10/1993
Date expires
09/30/2015
Class
Pharmacy - Pharmacist
Status
Active
Address
LEWISTON, ID 83501
utahlicensing.org
ID 29888180
LAST UPDATED 2024-03-30 16:57:15 UTC
LAST UPDATED 2024-03-30 16:57:15 UTC
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