STEPHANIE DANIELLE MIDANEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116005

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

DANIELLE

Last Name

MIDANEK

Business Name

STEPHANIE DANIELLE MIDANEK

Original Issue Date

11/19/1996

Effective Date

11/19/1996

Expiration Date

03/31/2004

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005