STEPHANIE LORRAINE VESPASIAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127459

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

LORRAINE

Last Name

VESPASIAN

Business Name

STEPHANIE LORRAINE VESPASIAN

Original Issue Date

09/16/1999

Effective Date

04/19/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013