NINA J STIDHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066600

License Status

NOT RENEWED

Business

First Name

NINA J

Last Name

STIDHAM

Business Name

NINA J STIDHAM

Original Issue Date

12/24/1976

Effective Date

12/24/1976

Expiration Date

01/01/1997

City

LAKE IN THE HILLS

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005