SANDRA FAE ONDRACEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063004

License Status

NOT RENEWED

Business

First Name

SANDRA FAE

Last Name

ONDRACEK

Business Name

SANDRA FAE ONDRACEK

Original Issue Date

02/21/1975

Effective Date

02/21/1975

Expiration Date

01/01/1997

City

PROPHETSTOWN

State

Zip

61277

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005