DEAN STEPHAN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065157

License Status

CANCELLED

Business

First Name

DEAN

Last Name

STEPHAN

Business Name

DEAN STEPHAN

Original Issue Date

04/09/1976

Effective Date

04/09/1976

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005