SUSAN PENNINGER HASE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059335

License Status

NOT RENEWED

Business

First Name

SUSAN PENNINGER

Last Name

HASE

Business Name

SUSAN PENNINGER HASE

Original Issue Date

04/04/1973

Effective Date

04/04/1973

Expiration Date

03/31/2004

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

10/20/2005