MARYAN SHEPPARD SUSSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049050895

License Status

NOT RENEWED

Business

First Name

MARYAN SHEPPARD

Last Name

SUSSMAN

Business Name

MARYAN SHEPPARD SUSSMAN

Original Issue Date

01/01/1997

Expiration Date

03/31/1998

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005