SUSAN IRENE EISENHOWER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059030

License Status

NOT RENEWED

Business

First Name

SUSAN IRENE

Last Name

EISENHOWER

Business Name

SUSAN IRENE EISENHOWER

Original Issue Date

02/06/1973

Effective Date

02/06/1973

Expiration Date

01/01/1997

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/17/2005