STEPHANIE ANNE PALM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101070

License Status

NOT RENEWED

Business

First Name

STEPHANIE ANNE

Last Name

PALM

Business Name

STEPHANIE ANNE PALM

Original Issue Date

08/24/1992

Effective Date

08/24/1992

Expiration Date

03/31/1998

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005