STEPHANIE L PAUKETAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063193

License Status

NOT RENEWED

Business

First Name

STEPHANIE L

Last Name

PAUKETAT

Business Name

STEPHANIE L PAUKETAT

Original Issue Date

03/28/1975

Effective Date

03/28/1975

Expiration Date

03/31/1986

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005