SUSAN M PETTENGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060066

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

PETTENGER

Business Name

SUSAN M PETTENGER

Original Issue Date

08/10/1973

Effective Date

08/10/1973

Expiration Date

01/01/1997

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005