CHANTELL M STOVALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163270

License Status

NOT RENEWED

Business

First Name

CHANTELL

Middle

Last Name

STOVALL

Business Name

CHANTELL M STOVALL

Original Issue Date

08/26/2005

Effective Date

03/22/2017

Expiration Date

03/31/2018

City

CEDAR RAPIDS

State

Zip

52402

Ever Disciplined

LastModifiedDate

06/19/2018