ANGELA S STAUTHAMMER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133172

License Status

INACTIVE

Business

First Name

ANGELA

Middle

Last Name

STAUTHAMMER

Business Name

ANGELA S STAUTHAMMER

Original Issue Date

10/16/2000

Effective Date

02/06/2012

Expiration Date

03/31/2013

City

PEORIA

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

01/03/2013