JENNIFER RENEE SANDAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162147

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

RENEE

Last Name

SANDAGE

Business Name

JENNIFER RENEE SANDAGE

Original Issue Date

07/07/2005

Effective Date

07/07/2005

Expiration Date

03/31/2006

City

LA CENTER

State

Zip

42056

County

KENTUCKY

Ever Disciplined

LastModifiedDate

05/11/2006