STEPHANIE A FOGG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064540

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005