STEVEN C PENN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144717

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

Last Name

PENN

Business Name

STEVEN C PENN

Original Issue Date

09/19/2002

Effective Date

09/19/2002

Expiration Date

03/31/2003

City

MUSKEGO

State

Zip

53150

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/20/2005