DANIEL A STEPHENS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168854

License Status

INACTIVE

Business

First Name

DANIEL A

Last Name

STEPHENS

Business Name

DANIEL A STEPHENS

Original Issue Date

05/23/2006

Effective Date

01/19/2010

Expiration Date

03/31/2011

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

01/05/2011