STEPHENIE I CHAMPION Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118345

License Status

NOT RENEWED

Business

First Name

STEPHENIE

Middle

Last Name

CHAMPION

Business Name

STEPHENIE I CHAMPION

Original Issue Date

07/31/1997

Effective Date

07/31/1997

Expiration Date

03/31/2001

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005