STEPHANIE KAYE COULTAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269688

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

KAYE

Last Name

COULTAS

Business Name

STEPHANIE KAYE COULTAS

Original Issue Date

12/05/2019

Effective Date

02/25/2020

Expiration Date

03/31/2021

City

BARRY

State

Zip

62312

County

ADAMS

Ever Disciplined

LastModifiedDate

07/20/2021