STEPHANIE LYNN WILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171060

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

LYNN

Last Name

WILLIS

Business Name

STEPHANIE LYNN WILLIS

Original Issue Date

09/05/2006

Effective Date

02/10/2011

Expiration Date

03/31/2012

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

05/07/2012