SARAH JOANNA TEN EYCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138749

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

JOANNA

Last Name

TEN EYCK

Business Name

SARAH JOANNA TEN EYCK

Original Issue Date

10/18/2001

Effective Date

10/18/2001

Expiration Date

03/31/2002

City

SILVER LAKE

State

Zip

53170

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/06/2005