SUSAN ROSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062913

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

ROSS

Business Name

SUSAN ROSS

Original Issue Date

02/07/1975

Effective Date

02/07/1975

Expiration Date

01/01/1997

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005