SANDRA ROSE MASON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150926

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

ROSE

Last Name

MASON

Business Name

SANDRA ROSE MASON

Original Issue Date

09/25/2003

Effective Date

09/25/2003

Expiration Date

03/31/2006

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

05/11/2006