STEPHANIE D MAHONY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155191

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

MAHONY

Business Name

STEPHANIE D MAHONY

Original Issue Date

06/15/2004

Effective Date

08/20/2009

Expiration Date

03/31/2010

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2010