SARAH E STOMBAUGH MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163672

License Status

NOT RENEWED

Business

Title

First Name

SARAH

Middle

Last Name

STOMBAUGH

Business Name

SARAH E STOMBAUGH MD

Original Issue Date

09/08/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/14/2007