LORRAINE SANDOVAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116832

License Status

NOT RENEWED

Business

First Name

LORRAINE

Last Name

SANDOVAL

Business Name

LORRAINE SANDOVAL

Original Issue Date

03/17/1997

Effective Date

03/17/1997

Expiration Date

03/31/1998

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005