SARAH A EYTALIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128963

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

EYTALIS

Business Name

SARAH A EYTALIS

Original Issue Date

01/14/2000

Effective Date

01/14/2000

Expiration Date

03/31/2001

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005