ROOSEVELT STEVENS - Pharmacist License in Illinois | # 049136693

ROOSEVELT STEVENS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136693

License Status

NOT RENEWED

Business

N

First Name

ROOSEVELT

Last Name

STEVENS

Business Name

ROOSEVELT STEVENS

Original Issue Date

06/13/2001

Effective Date

06/13/2001

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005