SANDRA L JASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213047

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

JASS

Prefix

Business Name

SANDRA L JASS

Original Issue Date

08/24/2012

Effective Date

08/24/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013