SANDRA S AXLINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101289

License Status

NOT RENEWED

Business

First Name

SANDRA S

Last Name

AXLINE

Business Name

SANDRA S AXLINE

Original Issue Date

09/17/1992

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

05/02/2008