SANDRA SUZANNE BLANK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060357

License Status

NOT RENEWED

Business

First Name

SANDRA SUZANNE

Last Name

BLANK

Business Name

SANDRA SUZANNE BLANK

Original Issue Date

10/05/1973

Effective Date

10/05/1973

Expiration Date

03/31/1984

City

NOBLE

State

Zip

62868

County

RICHLAND

Ever Disciplined

LastModifiedDate

10/17/2005