STEVEN WAYNE BELLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153632

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

WAYNE

Last Name

BELLEN

Business Name

STEVEN WAYNE BELLEN

Original Issue Date

03/15/2004

Effective Date

05/21/2008

Expiration Date

03/31/2009

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009