SALLY A EGBERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127345

License Status

NOT RENEWED

Business

First Name

SALLY

Middle

Last Name

EGBERT

Business Name

SALLY A EGBERT

Original Issue Date

09/09/1999

Effective Date

09/09/1999

Expiration Date

03/31/2003

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

10/20/2005