SUSAN LEE HIATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053542

License Status

NOT RENEWED

Business

First Name

SUSAN LEE

Last Name

HIATT

Business Name

SUSAN LEE HIATT

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/17/2005