SANDRA PENNELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160635

License Status

NOT RENEWED

Business

First Name

SANDRA

Last Name

PENNELL

Business Name

SANDRA PENNELL

Original Issue Date

04/27/2005

Effective Date

01/21/2014

Expiration Date

03/31/2015

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015