AMBER DAWN STUFFLEBEAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221456

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

DAWN

Last Name

STUFFLEBEAM

Business Name

AMBER DAWN STUFFLEBEAM

Original Issue Date

10/16/2013

Effective Date

03/10/2014

Expiration Date

03/31/2015

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

05/11/2015