ERIC RALPH STEPHENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205403

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

RALPH

Last Name

STEPHENS

Business Name

ERIC RALPH STEPHENS

Original Issue Date

07/18/2011

Effective Date

07/18/2011

Expiration Date

03/31/2012

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/07/2012