STEPHANIE SUZANNE FOREMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132973

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

SUZANNE

Last Name

FOREMAN

Business Name

STEPHANIE SUZANNE FOREMAN

Original Issue Date

10/06/2000

Effective Date

10/06/2000

Expiration Date

03/31/2003

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005