SUSAN L HAISCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062635

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

HAISCH

Business Name

SUSAN L HAISCH

Original Issue Date

12/06/1974

Effective Date

12/06/1974

Expiration Date

03/31/1984

City

POLO

State

Zip

61064

County

OGLE

Ever Disciplined

LastModifiedDate

05/24/2007