STEVEN JAMES BACKSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141892

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

JAMES

Last Name

BACKSTROM

Business Name

STEVEN JAMES BACKSTROM

Original Issue Date

04/17/2002

Effective Date

02/20/2019

Expiration Date

09/30/2020

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

01/08/2021