STEVEN ALAN LIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191653

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

ALAN

Last Name

LIST

Business Name

STEVEN ALAN LIST

Original Issue Date

05/14/2009

Effective Date

05/14/2009

Expiration Date

03/31/2010

City

MC LEAN

State

Zip

61754

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/04/2010