STEPHEN RAY LOPEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139027

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

RAY

Last Name

LOPEZ

Business Name

STEPHEN RAY LOPEZ

Original Issue Date

11/02/2001

Effective Date

11/02/2001

Expiration Date

03/31/2002

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/06/2005