STEPHANIE HELEN DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098654

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

HELEN

Last Name

DOUGLAS

Business Name

STEPHANIE HELEN DOUGLAS

Original Issue Date

11/12/1991

Effective Date

11/12/1991

Expiration Date

03/31/1993

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005