SANDRA R DECOSOLA - Pharmacist License in Illinois | # 049167728

SANDRA R DECOSOLA

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167728

License Status

INACTIVE

Business

N

First Name

SANDRA

Middle

R

Last Name

DECOSOLA

Business Name

SANDRA R DECOSOLA

Original Issue Date

04/12/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

01/10/2008