STEPHANIE MICHELLE BUCCO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121930

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

MICHELLE

Last Name

BUCCO

Business Name

STEPHANIE MICHELLE BUCCO

Original Issue Date

07/10/1998

Effective Date

06/19/2014

Expiration Date

03/31/2015

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/11/2015