STEPANKA HEROUT Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072835

License Status

CANCELLED

Business

First Name

STEPANKA

Last Name

HEROUT

Business Name

STEPANKA HEROUT

Original Issue Date

04/18/1980

Effective Date

04/18/1980

Expiration Date

03/31/1984

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005