STEPHANIE N PRUETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185721

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

PRUETT

Business Name

STEPHANIE N PRUETT

Original Issue Date

07/23/2008

Effective Date

01/20/2015

Expiration Date

03/31/2016

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

05/20/2016