STACY JO SANDOVAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119149

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

SANDOVAL

Business Name

STACY JO SANDOVAL

Original Issue Date

10/23/1997

Effective Date

10/23/1997

Expiration Date

03/31/1999

City

COLONA

State

Zip

61241

County

HENRY

Ever Disciplined

LastModifiedDate

10/17/2005