STEPHANIE LYNN NIEPOETTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151703

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

LYNN

Last Name

NIEPOETTER

Business Name

STEPHANIE LYNN NIEPOETTER

Original Issue Date

10/16/2003

Effective Date

10/16/2003

Expiration Date

03/31/2004

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/20/2005