SANDRA R DECOSOLA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167728

License Status

INACTIVE

Business

First Name

SANDRA

Middle

Last Name

DECOSOLA

Business Name

SANDRA R DECOSOLA

Original Issue Date

04/12/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008