STEPHANIE LYNN GOETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135617

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

LYNN

Last Name

GOETZ

Business Name

STEPHANIE LYNN GOETZ

Original Issue Date

04/05/2001

Effective Date

04/05/2001

Expiration Date

03/31/2002

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/06/2005