STEPHANIE ELAINE GRIDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138048

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

ELAINE

Last Name

GRIDER

Business Name

STEPHANIE ELAINE GRIDER

Original Issue Date

09/10/2001

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009