SIMON J STAUB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168108

License Status

NOT RENEWED

Business

First Name

SIMON

Middle

Last Name

STAUB

Business Name

SIMON J STAUB

Original Issue Date

04/24/2006

Effective Date

01/26/2012

Expiration Date

03/31/2013

City

SUGAR GROVE

State

Zip

60554

Ever Disciplined

LastModifiedDate

05/06/2013