SANDRA K WADE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124315

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

WADE

Business Name

SANDRA K WADE

Original Issue Date

12/28/1998

Effective Date

12/28/1998

Expiration Date

03/31/2002

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005