SANDRA W EWALT - Pharmacist License in Illinois | # 049065041

SANDRA W EWALT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065041

License Status

NOT RENEWED

Business

N

First Name

SANDRA W

Last Name

EWALT

Business Name

SANDRA W EWALT

Original Issue Date

03/19/1976

Effective Date

03/19/1976

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005