SANDRA LEA BEAVERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060121

License Status

NOT RENEWED

Business

First Name

SANDRA LEA

Last Name

BEAVERS

Business Name

SANDRA LEA BEAVERS

Original Issue Date

08/24/1973

Effective Date

08/24/1973

Expiration Date

01/01/1997

City

STREATOR

State

Zip

61364

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005