STEFANIE JEAN SOUTHARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162430

License Status

NOT RENEWED

Business

First Name

STEFANIE

Middle

JEAN

Last Name

SOUTHARD

Business Name

STEFANIE JEAN SOUTHARD

Original Issue Date

07/21/2005

Effective Date

02/15/2012

Expiration Date

03/31/2013

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2013