BETHENY BROOKE STEVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144214

License Status

NOT RENEWED

Business

First Name

BETHENY

Middle

BROOKE

Last Name

STEVENS

Business Name

BETHENY BROOKE STEVENS

Original Issue Date

08/19/2002

Effective Date

08/19/2002

Expiration Date

03/31/2003

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

10/20/2005