SUSAN PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059043

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

PAYNE

Business Name

SUSAN PAYNE

Original Issue Date

02/06/1973

Effective Date

02/06/1973

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005