SALLY A MASONER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072801

License Status

NOT RENEWED

Business

First Name

SALLY A

Last Name

MASONER

Business Name

SALLY A MASONER

Original Issue Date

04/10/1980

Effective Date

04/10/1980

Expiration Date

01/01/1997

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/17/2005