STEPHEN R BERNZEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223576

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

BERNZEN

Prefix

Business Name

STEPHEN R BERNZEN

Original Issue Date

02/25/2014

Effective Date

02/25/2014

Expiration Date

03/31/2015

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015