SUSAN EILEEN STEPHENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262067

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

EILEEN

Last Name

STEPHENS

Business Name

SUSAN EILEEN STEPHENS

Original Issue Date

12/11/2018

Effective Date

02/26/2020

Expiration Date

03/31/2021

City

NORTHWOOD

State

Zip

43619

Ever Disciplined

LastModifiedDate

07/20/2021