KOEBE STEPHEN NELSON JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162415

License Status

NOT RENEWED

Business

First Name

KOEBE

Middle

STEPHEN

Last Name

NELSON

Suffix

Business Name

KOEBE STEPHEN NELSON JR

Original Issue Date

07/21/2005

Effective Date

02/14/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018