SARA MARIE DEWALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147037

License Status

NOT RENEWED

Business

First Name

SARA

Middle

MARIE

Last Name

DEWALL

Business Name

SARA MARIE DEWALL

Original Issue Date

02/14/2003

Effective Date

04/08/2019

Expiration Date

09/30/2020

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

01/08/2021