STEPHANIE A PENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097992

License Status

NOT RENEWED

Business

First Name

STEPHANIE A

Last Name

PENA

Business Name

STEPHANIE A PENA

Original Issue Date

09/11/1991

Effective Date

09/11/1991

Expiration Date

03/31/1998

City

JOLIET

State

Zip

60433

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005