SAMUEL R STEPHENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051017422

License Status

NOT RENEWED

Business

First Name

SAMUEL R

Last Name

STEPHENS

Business Name

SAMUEL R STEPHENS

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005