SANDRA R BERTELSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153349

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

BERTELSEN

Business Name

SANDRA R BERTELSEN

Original Issue Date

02/27/2004

Effective Date

03/06/2014

Expiration Date

03/31/2015

City

LITTLE YORK

State

Zip

61453

County

WARREN

Ever Disciplined

LastModifiedDate

08/03/2018