SANDY IRENE PEMBERTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168378

License Status

NOT RENEWED

Business

First Name

SANDY

Middle

IRENE

Last Name

PEMBERTON

Business Name

SANDY IRENE PEMBERTON

Original Issue Date

05/02/2006

Effective Date

05/02/2006

Expiration Date

03/31/2007

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/14/2007