MICHAEL E STEVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057875

License Status

NOT RENEWED

Business

First Name

MICHAEL E

Last Name

STEVENS

Business Name

MICHAEL E STEVENS

Original Issue Date

06/10/1972

Effective Date

06/10/1972

Expiration Date

01/01/1997

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005