SARAH BOONE JAYASURIYA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160746

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

BOONE

Last Name

JAYASURIYA

Business Name

SARAH BOONE JAYASURIYA

Original Issue Date

05/03/2005

Effective Date

05/03/2005

Expiration Date

03/31/2006

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006