STEPANIE LYNETTE BLAXTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174593

License Status

NOT RENEWED

Business

First Name

STEPANIE

Middle

LYNETTE

Last Name

BLAXTON

Business Name

STEPANIE LYNETTE BLAXTON

Original Issue Date

03/02/2007

Effective Date

03/02/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2007