SANDRA A PENN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206964

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

PENN

Prefix

Business Name

SANDRA A PENN

Original Issue Date

09/26/2011

Effective Date

09/26/2011

Expiration Date

03/31/2012

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012