SANDRA L SOUTHWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136851

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

SOUTHWELL

Business Name

SANDRA L SOUTHWELL

Original Issue Date

06/27/2001

Effective Date

06/27/2001

Expiration Date

03/31/2003

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005