SANDIE S C FAN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062947

License Status

CANCELLED

Business

First Name

SANDIE S C

Last Name

FAN

Business Name

SANDIE S C FAN

Original Issue Date

02/14/1975

Effective Date

02/14/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005