SANDRA MARIE PACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073483

License Status

NOT RENEWED

Business

First Name

SANDRA MARIE

Last Name

PACK

Business Name

SANDRA MARIE PACK

Original Issue Date

08/15/1980

Effective Date

08/15/1980

Expiration Date

03/31/1984

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005