SANDRA JEAN LIVE HIMSTEDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071675

License Status

NOT RENEWED

Business

First Name

SANDRA JEAN LIVE

Last Name

HIMSTEDT

Business Name

SANDRA JEAN LIVE HIMSTEDT

Original Issue Date

08/03/1979

Effective Date

08/03/1979

Expiration Date

03/31/2000

City

NIANTIC

State

Zip

62551

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005