SANDRA SUZANNE BLANK - Pharmacist License in Illinois | # 049060357

SANDRA SUZANNE BLANK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060357

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005