STEPHANIE K BANAHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097969

License Status

NOT RENEWED

Business

First Name

STEPHANIE K

Last Name

BANAHAN

Business Name

STEPHANIE K BANAHAN

Original Issue Date

09/10/1991

Effective Date

09/10/1991

Expiration Date

03/31/1993

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/17/2005