SARA LEIGH SUPERGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269728

License Status

NOT RENEWED

Business

First Name

SARA

Middle

LEIGH

Last Name

SUPERGAN

Business Name

SARA LEIGH SUPERGAN

Original Issue Date

12/06/2019

Effective Date

12/06/2019

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021