KELSEY SUE SANDSMARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162927

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

SUE

Last Name

SANDSMARK

Business Name

KELSEY SUE SANDSMARK

Original Issue Date

08/11/2005

Effective Date

01/31/2011

Expiration Date

03/31/2012

City

LODA

State

Zip

60948

County

IROQUOIS

Ever Disciplined

LastModifiedDate

05/07/2012