STEFANIE LANE HARTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131963

License Status

NOT RENEWED

Business

First Name

STEFANIE

Middle

LANE

Last Name

HARTMAN

Business Name

STEFANIE LANE HARTMAN

Original Issue Date

08/02/2000

Effective Date

08/02/2000

Expiration Date

03/31/2001

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/21/2005