CLYDE H STEPHENS III Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034936

License Status

INACTIVE

Business

First Name

CLYDE H

Last Name

STEPHENS III

Business Name

CLYDE H STEPHENS III

Original Issue Date

08/09/1983

Effective Date

08/09/1983

Expiration Date

03/31/1992

City

EDINA

State

Zip

55424

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/17/2005