SANDRA K VANHOUTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105132

License Status

NOT RENEWED

Business

First Name

SANDRA K

Last Name

VANHOUTEN

Business Name

SANDRA K VANHOUTEN

Original Issue Date

11/08/1993

Effective Date

11/08/1993

Expiration Date

03/31/1999

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005