SARAH ELIZABETH TRAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147705

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

ELIZABETH

Last Name

TRAVIS

Business Name

SARAH ELIZABETH TRAVIS

Original Issue Date

03/31/2003

Effective Date

02/09/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012