JOHNATHAN R STAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204181

License Status

NOT RENEWED

Business

First Name

JOHNATHAN

Middle

Last Name

STAM

Business Name

JOHNATHAN R STAM

Original Issue Date

05/17/2011

Effective Date

03/24/2014

Expiration Date

03/31/2015

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/11/2015