STEPHANIE A CRUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160936

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

CRUM

Business Name

STEPHANIE A CRUM

Original Issue Date

05/10/2005

Effective Date

05/10/2005

Expiration Date

03/31/2006

City

ST LOUIS

State

Zip

63123

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/11/2006