SUSAN MARIE BAUER - Pharmacist License in Illinois | # 049061732

SUSAN MARIE BAUER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061732

License Status

NOT RENEWED

Business

N

First Name

SUSAN MARIE

Last Name

BAUER

Business Name

SUSAN MARIE BAUER

Original Issue Date

06/21/1974

Effective Date

06/21/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005