AMANDA E SANDOVAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161601

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

SANDOVAL

Business Name

AMANDA E SANDOVAL

Original Issue Date

06/09/2005

Effective Date

03/22/2010

Expiration Date

03/31/2011

City

PALOS HILLS

State

Zip

60465

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011