License holder summary

Stacey M Banta is a Pharmacy - Pharmacist licensed to practice in Massachusetts. The address on file for Stacey M Banta is United States, Mansfield 02048. This licensed professional license is current. The license was granted 05/22/1990 and expired on 12/31/2016.

Massachusetts

Division of Professional Licensure

Stacey M Banta
Pharmacy - Pharmacist
License number
PH21046
Date granted
05/22/1990
Date expires
12/31/2016
Class
Pharmacy - Pharmacist
Status
Current
Address
United States
licensingma.org
ID 38599284
LAST UPDATED 2026-06-07 01:26:28 UTC

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