SANDRA OMERSO HIBBARD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029630

License Status

INACTIVE

Business

First Name

SANDRA OMERSO

Last Name

HIBBARD

Business Name

SANDRA OMERSO HIBBARD

Original Issue Date

07/27/1973

Effective Date

07/27/1973

Expiration Date

03/31/1996

City

FORT WAYNE

State

Zip

46807

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005