SUSAN JANE LITTLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061616

License Status

NOT RENEWED

Business

First Name

SUSAN JANE

Last Name

LITTLE

Business Name

SUSAN JANE LITTLE

Original Issue Date

06/18/1974

Effective Date

06/18/1974

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005