SIRENA LARISSA STOUTEMIRE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139193

License Status

NOT RENEWED

Business

First Name

SIRENA

Middle

LARISSA

Last Name

STOUTEMIRE

Business Name

SIRENA LARISSA STOUTEMIRE

Original Issue Date

11/13/2001

Effective Date

11/13/2001

Expiration Date

03/31/2004

City

ELGIN

State

Zip

60120

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005