SUSAN F BELT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058364

License Status

NOT RENEWED

Business

First Name

SUSAN F

Last Name

BELT

Business Name

SUSAN F BELT

Original Issue Date

09/06/1972

Effective Date

09/06/1972

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005