SARA HISSONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166271

License Status

NOT RENEWED

Business

First Name

SARA

Last Name

HISSONG

Business Name

SARA HISSONG

Original Issue Date

01/25/2006

Effective Date

03/17/2009

Expiration Date

03/31/2010

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010