STEPHANIE DELAINE HALLSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255745

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

DELAINE

Last Name

HALLSTROM

Business Name

STEPHANIE DELAINE HALLSTROM

Original Issue Date

01/25/2018

Effective Date

01/25/2018

Expiration Date

03/31/2019

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

07/15/2019