BETHANY JOY STAGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150856

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

JOY

Last Name

STAGEN

Business Name

BETHANY JOY STAGEN

Original Issue Date

09/24/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

PAXTON

State

Zip

60957

County

FORD

Ever Disciplined

LastModifiedDate

05/14/2007