SANDRA J PETICOLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065830

License Status

NOT RENEWED

Business

First Name

SANDRA J

Last Name

PETICOLAS

Business Name

SANDRA J PETICOLAS

Original Issue Date

07/23/1976

Effective Date

07/23/1976

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005