LUCAS BENJAMIN STOLLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164102

License Status

NOT RENEWED

Business

First Name

LUCAS

Middle

BENJAMIN

Last Name

STOLLER

Business Name

LUCAS BENJAMIN STOLLER

Original Issue Date

09/22/2005

Effective Date

02/24/2010

Expiration Date

03/31/2011

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/12/2011