STEPHANIE R CONGELOSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116575

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

CONGELOSE

Business Name

STEPHANIE R CONGELOSE

Original Issue Date

02/27/1997

Effective Date

02/27/1997

Expiration Date

03/31/2002

City

JOLIET

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

12/06/2005