MADDOX STEPHEN PETRUCHA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049322534

License Status

ACTIVE

Business

First Name

MADDOX

Middle

STEPHEN

Last Name

PETRUCHA

Business Name

MADDOX STEPHEN PETRUCHA

Original Issue Date

08/22/2025

Effective Date

08/22/2025

Expiration Date

03/31/2026

City

BETHANY

State

Zip

61914

County

MOULTRIE

Ever Disciplined

LastModifiedDate

01/30/2026