SANDRA A IVINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097162

License Status

NOT RENEWED

Business

First Name

SANDRA A

Last Name

IVINS

Business Name

SANDRA A IVINS

Original Issue Date

06/13/1991

Effective Date

02/22/2011

Expiration Date

03/31/2012

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/07/2012