MICHELE STEPHANSEN - Pharmacist License in Illinois | # 049069130

MICHELE STEPHANSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069130

License Status

NOT RENEWED

Business

N

First Name

MICHELE

Last Name

STEPHANSEN

Business Name

MICHELE STEPHANSEN

Original Issue Date

04/07/1978

Effective Date

04/07/1978

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005