PENNY S STURDIVANT - Pharmacist License in Illinois | # 049100723

PENNY S STURDIVANT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100723

License Status

NOT RENEWED

Business

N

First Name

PENNY

Middle

S

Last Name

STURDIVANT

Business Name

PENNY S STURDIVANT

Original Issue Date

07/15/1992

Effective Date

03/03/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010