MARY BETH STAHL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127830

License Status

NOT RENEWED

Business

First Name

MARY

Middle

BETH

Last Name

STAHL

Business Name

MARY BETH STAHL

Original Issue Date

10/12/1999

Effective Date

10/12/1999

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005