SUSAN F ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058767

License Status

NOT RENEWED

Business

First Name

SUSAN F

Last Name

ANDERSON

Business Name

SUSAN F ANDERSON

Original Issue Date

11/23/1972

Effective Date

01/17/2014

Expiration Date

03/31/2015

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015