MARK JA STIEHM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189396

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

STIEHM

Prefix

Business Name

MARK JA STIEHM

Original Issue Date

01/29/2009

Effective Date

01/29/2009

Expiration Date

03/31/2010

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010