PHILIP STEPHEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158522

License Status

NOT RENEWED

Business

First Name

PHILIP

Last Name

STEPHEN

Business Name

PHILIP STEPHEN

Original Issue Date

12/21/2004

Effective Date

12/21/2004

Expiration Date

03/31/2006

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/11/2006