KELLY MARIE STEPHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142698

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

MARIE

Last Name

STEPHAN

Business Name

KELLY MARIE STEPHAN

Original Issue Date

05/29/2002

Effective Date

05/29/2002

Expiration Date

03/31/2003

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005