GREGORY STEPHENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061915

License Status

NOT RENEWED

Business

First Name

GREGORY

Last Name

STEPHENS

Business Name

GREGORY STEPHENS

Original Issue Date

07/12/1974

Effective Date

07/12/1974

Expiration Date

01/01/1997

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005