STEVEN LEE STUMBORG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191837

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

LEE

Last Name

STUMBORG

Business Name

STEVEN LEE STUMBORG

Original Issue Date

05/21/2009

Effective Date

03/08/2010

Expiration Date

03/31/2011

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/12/2011