SARAH J VAN LAECKEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158806

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

VAN LAECKEN

Business Name

SARAH J VAN LAECKEN

Original Issue Date

01/07/2005

Effective Date

03/03/2015

Expiration Date

03/31/2016

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

05/20/2016