STEPHANIE WONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051297974

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Last Name

WONG

Business Name

STEPHANIE WONG

Original Issue Date

08/28/2014

Effective Date

08/28/2014

Expiration Date

03/31/2016

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016