SUSIE CANTRELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064944

License Status

NOT RENEWED

Business

First Name

SUSIE

Last Name

CANTRELL

Business Name

SUSIE CANTRELL

Original Issue Date

02/27/1976

Effective Date

02/27/1976

Expiration Date

01/01/1997

City

MCLEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

10/17/2005