SUSAN K LONZEROTTI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063101

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

LONZEROTTI

Business Name

SUSAN K LONZEROTTI

Original Issue Date

03/14/1975

Effective Date

03/14/1975

Expiration Date

03/31/1984

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005