LISA JEAN SANDAGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136876

License Status

NOT RENEWED

Business

First Name

LISA

Middle

JEAN

Last Name

SANDAGER

Business Name

LISA JEAN SANDAGER

Original Issue Date

06/29/2001

Effective Date

06/29/2001

Expiration Date

03/31/2003

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005