ELLEN REBECCA STEIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068156

License Status

NOT RENEWED

Business

First Name

ELLEN REBECCA

Last Name

STEIN

Business Name

ELLEN REBECCA STEIN

Original Issue Date

09/23/1977

Effective Date

09/23/1977

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005