TAJA STEPHENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215457

License Status

NOT RENEWED

Business

First Name

TAJA

Last Name

STEPHENS

Business Name

TAJA STEPHENS

Original Issue Date

01/11/2013

Effective Date

02/27/2014

Expiration Date

03/31/2015

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015