MARY JO SAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057974

License Status

NOT RENEWED

Business

First Name

MARY JO

Last Name

SAGE

Business Name

MARY JO SAGE

Original Issue Date

06/24/1972

Effective Date

06/24/1972

Expiration Date

03/31/2002

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005