SONJA M VAN ALPHEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158078

License Status

NOT RENEWED

Business

First Name

SONJA

Middle

Last Name

VAN ALPHEN

Business Name

SONJA M VAN ALPHEN

Original Issue Date

12/01/2004

Effective Date

12/01/2004

Expiration Date

03/31/2006

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2006