STEPHANIE A FOGG - Pharmacist License in Illinois | # 049064540

STEPHANIE A FOGG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064540

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE A

Last Name

FOGG

Business Name

STEPHANIE A FOGG

Original Issue Date

12/05/1975

Effective Date

12/05/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005