STEPHEN MICHAEL MOERLIEN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058763

License Status

CANCELLED

Business

First Name

STEPHEN MICHAEL

Last Name

MOERLIEN

Business Name

STEPHEN MICHAEL MOERLIEN

Original Issue Date

11/23/1972

Effective Date

11/23/1972

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005