ROGER ALLEN STEPHENS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029402

License Status

INACTIVE

Business

First Name

ROGER ALLEN

Last Name

STEPHENS

Business Name

ROGER ALLEN STEPHENS

Original Issue Date

11/29/1972

Effective Date

01/31/2012

Expiration Date

03/31/2014

City

ELGIN

State

Zip

60124

County

KANE

Ever Disciplined

LastModifiedDate

01/09/2014