DAWN R SANDBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130151

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

SANDBERG

Business Name

DAWN R SANDBERG

Original Issue Date

03/21/2000

Effective Date

03/21/2000

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005