STEPHANIE MARIE SANSOUCIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120413

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

MARIE

Last Name

SANSOUCIE

Business Name

STEPHANIE MARIE SANSOUCIE

Original Issue Date

03/31/1998

Effective Date

03/31/1998

Expiration Date

03/31/2005

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005