SANDRA LEA BEAVERS - Pharmacist License in Illinois | # 049060121

SANDRA LEA BEAVERS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060121

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005