STEPHANIE M GLENN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141323

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

GLENN

Business Name

STEPHANIE M GLENN

Original Issue Date

03/11/2002

Effective Date

03/11/2002

Expiration Date

03/31/2003

City

PAWNEE

State

Zip

62558

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005