STEPHANIE C TAIBOSSIGAI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149634

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

TAIBOSSIGAI

Business Name

STEPHANIE C TAIBOSSIGAI

Original Issue Date

07/29/2003

Effective Date

07/29/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005