SUSAN ELIZABETH CHURCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189502

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ELIZABETH

Last Name

CHURCH

Business Name

SUSAN ELIZABETH CHURCH

Original Issue Date

02/05/2009

Effective Date

03/26/2010

Expiration Date

03/31/2011

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

05/12/2011