SANDRAA ELLEN FIELDS - Pharmacist License in Illinois | # 049156025

SANDRAA ELLEN FIELDS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156025

License Status

NOT RENEWED

Business

N

First Name

SANDRAA

Middle

ELLEN

Last Name

FIELDS

Business Name

SANDRAA ELLEN FIELDS

Original Issue Date

07/09/2004

Effective Date

07/19/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017