SANDRA P ROA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162131

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

ROA

Business Name

SANDRA P ROA

Original Issue Date

07/07/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008