THESESA MAGDALENA STUMPF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122410

License Status

NOT RENEWED

Business

First Name

THESESA

Middle

MAGDALENA

Last Name

STUMPF

Business Name

THESESA MAGDALENA STUMPF

Original Issue Date

08/11/1998

Effective Date

08/11/1998

Expiration Date

03/31/1999

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005