MARK ALLEN STEPHENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129548

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ALLEN

Last Name

STEPHENS

Business Name

MARK ALLEN STEPHENS

Original Issue Date

02/24/2000

Effective Date

02/24/2000

Expiration Date

03/31/2004

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

10/20/2005