STEFANIE E BANKHEAD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154066

License Status

NOT RENEWED

Business

First Name

STEFANIE

Middle

Last Name

BANKHEAD

Business Name

STEFANIE E BANKHEAD

Original Issue Date

04/13/2004

Effective Date

04/13/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005