TIFFANY N STEVENSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150177

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

STEVENSON

Business Name

TIFFANY N STEVENSON

Original Issue Date

08/21/2003

Effective Date

08/21/2003

Expiration Date

03/31/2004

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005