SALLY A MUCHOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070598

License Status

NOT RENEWED

Business

First Name

SALLY A

Last Name

MUCHOW

Business Name

SALLY A MUCHOW

Original Issue Date

01/26/1979

Effective Date

01/26/1979

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005