MARK V SANDAHL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176057

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

SANDAHL

Business Name

MARK V SANDAHL

Original Issue Date

05/02/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

WILDWOOD

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2009