SANDRA LYNN POTEMPA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120583

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

LYNN

Last Name

POTEMPA

Business Name

SANDRA LYNN POTEMPA

Original Issue Date

04/13/1998

Effective Date

04/13/1998

Expiration Date

03/31/2005

City

FOX LAKE

State

Zip

60020

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005