SHELLY A STEPHENS - Pharmacist License in Illinois | # 049195028

SHELLY A STEPHENS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195028

License Status

NOT RENEWED

Business

N

First Name

SHELLY

Middle

A

Last Name

STEPHENS

Prefix

MR

Business Name

SHELLY A STEPHENS

Original Issue Date

10/26/2009

Effective Date

10/26/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010