STEPHANIE R BAKKEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049270127

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

BAKKEN

Business Name

STEPHANIE R BAKKEN

Original Issue Date

01/02/2020

Effective Date

01/02/2020

Expiration Date

03/31/2021

City

QUINCY

State

Zip

62301

Ever Disciplined

LastModifiedDate

07/20/2021